| Pediatric femoral avascular necrosis after pyarthrosis: use of free vascularized fibular grafting. | |
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MedLine Citation:
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PMID: 16205159 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Allston J Stubbs; Eunice B Gunneson; James R Urbaniak |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: 439 ISSN: 0009-921X ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 2005 Oct |
Date Detail:
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Created Date: 2005-10-05 Completed Date: 2005-12-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: United States |
Other Details:
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Languages: eng Pagination: 193-200 Citation Subset: AIM; IM |
Affiliation:
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Duke University Medical Center, Durham, NC 27710, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Arthritis, Infectious / complications*, pathology Bone Transplantation* Child Female Femur Head Necrosis / etiology, pathology, surgery* Fibula / transplantation* Follow-Up Studies Hip Joint / physiology, surgery Humans Magnetic Resonance Imaging Male 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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