Document Detail

Pediatric femoral avascular necrosis after pyarthrosis: use of free vascularized fibular grafting.
MedLine Citation:
PMID:  16205159     Owner:  NLM     Status:  MEDLINE    
Pyarthrosis of a child's hip can lead to osteonecrosis of the femoral head. Symptomatic treatment options for this condition are limited. We supposed that free vascularized fibula autografting would improve range of motion, decrease pain, and increase function in patients with symptomatic osteonecrosis of the pediatric femoral head secondary to pyarthrosis. We prospectively evaluated seven consecutive patients who presented with Stages IV and V osteonecrosis of the femoral head. All patients were treated with free vascularized fibular autografting to the femoral head. Postoperative evaluations of range of motion, pain symptoms, and functional activity showed improvements in all patients. Range of motion of the hip was significantly improved in the arcs of flexion (+23 degrees) and external rotation (+22 degrees). Harris hip scores significantly increased from an average preoperative score of 68 to an average postoperative score of 96. No patients needed revision surgery to hip arthrodesis or arthroplasty within the 3-year 11-month followup.
Allston J Stubbs; Eunice B Gunneson; James R Urbaniak
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  439     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-05     Completed Date:  2005-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  193-200     Citation Subset:  AIM; IM    
Duke University Medical Center, Durham, NC 27710, USA.
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MeSH Terms
Arthritis, Infectious / complications*,  pathology
Bone Transplantation*
Femur Head Necrosis / etiology,  pathology,  surgery*
Fibula / transplantation*
Follow-Up Studies
Hip Joint / physiology,  surgery
Magnetic Resonance Imaging
Prospective Studies
Range of Motion, Articular
Transplantation, Autologous
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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