Orthopedics Medical News about Hip

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. Rapid correction of low vitamin D status in nursing home residents

3. 2008 Exclusive Survey—Earnings: Good news for primary care income

4. Medicare pay-for-reporting effort draws fire from frustrated doctors

5. Debunking Myths in the US Healthcare System

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Vascularized Iliac Bone-Grafting for Osteonecrosis with Segmental Collapse of the Femoral Head
Journal of Bone and Joint Surgery, 10/05/09

Chen CC et al. – Vascularized iliac bone–grafting with use of the technique described in this study is not indicated for the treatment of osteonecrotic femoral heads with segmental collapse.

Exclusive Author Commentary
Mel S. Lee, M.D., Ph.D., 10/12/09

Vascularized iliac grafting has been successful in patients with osteonecrosis of the femoral head before segmental collapse. In our previous reports, a 80% clinical successful rate and 70% radiologic successful rate were achieved in such cases with a minimum follow-up of 2 months. Possible reasons for the better results of vascularized fibular grafting may be that the vascular pedicle is bigger and not kinked after rerouting to the femoral head, the structural support of the cortical fibular strut to the subchondral bone is stronger, the position of the fibular graft can be more ideally placed under fluoroscopic guide, and the reparative potential of the fibular graft is more reliable than that of the iliac crest possibly affected by extensive osteonecrosis.

<< Previous
Differences Between the Sexes in the Anatomy of the Anterior...

Next >>
Cigarette smoking and chronic low back pain in the adult...