The treatment of avascular necrosis of the femoral head with vascularized fibular grafting: a report of three cases

Volume: 39 Number: 5 September 11, 2006
  • Mahmut Komurcu
  • Kaan Erler
  • Serkan Ozdemir
  • Dogan Bek
  • Mehmet Altinmakas
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The treatment of avascular necrosis of the femoral head with vascularized fibular grafting: a report of three cases

Abstract

Three male patients aged 21, 21, and 24 years were treated with vascularized fibula grafting for avascular necrosis of the femoral head. The disease was found idiopathic in two cases, while one patient was on steroid therapy. According to the Pennsylvania University Staging System, preoperative radiologic stages were 2a, 2b, and 2c. At the end of a mean follow-up period of 31 months (range 30 to 32 months), there was no progression in two patients, whereas the patient with stage 2c disease was found as stage 3b. The mean Harris hip score increased from preoperative 54 (range 52 to 58) to postoperative 93.3 (range 86 to 100). Vascularized fibula grafting may be an alternative method for early stages of avascular necrosis of the femoral head especially in young patients, because it prevents subchondral collapse, delays total hip arthroplasty, and offers a high success rate.

Keywords

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Mahmut Komurcu This is me

Kaan Erler This is me

Serkan Ozdemir This is me

Dogan Bek This is me

Mehmet Altinmakas This is me

Publication Date

September 11, 2006

Submission Date

March 7, 2014

Acceptance Date

-

Published in Issue

Year 2005 Volume: 39 Number: 5

DOI

https://doi.org/10.3944/aott.v39i5.643

IZ

https://izlik.org/JA95AK23BR

Cite

RIS / Bibtex
APA
Komurcu, M., Erler, K., Ozdemir, S., Bek, D., & Altinmakas, M. (2006). The treatment of avascular necrosis of the femoral head with vascularized fibular grafting: a report of three cases. Acta Orthopaedica et Traumatologica Turcica, 39(5), 449-454. https://doi.org/10.3944/aott.v39i5.643
AMA
1.Komurcu M, Erler K, Ozdemir S, Bek D, Altinmakas M. The treatment of avascular necrosis of the femoral head with vascularized fibular grafting: a report of three cases. Acta Orthopaedica et Traumatologica Turcica. 2006;39(5):449-454. doi:10.3944/aott.v39i5.643
Chicago
Komurcu, Mahmut, Kaan Erler, Serkan Ozdemir, Dogan Bek, and Mehmet Altinmakas. 2006. “The Treatment of Avascular Necrosis of the Femoral Head With Vascularized Fibular Grafting: A Report of Three Cases”. Acta Orthopaedica et Traumatologica Turcica 39 (5): 449-54. https://doi.org/10.3944/aott.v39i5.643.
EndNote
Komurcu M, Erler K, Ozdemir S, Bek D, Altinmakas M (September 1, 2006) The treatment of avascular necrosis of the femoral head with vascularized fibular grafting: a report of three cases. Acta Orthopaedica et Traumatologica Turcica 39 5 449–454.
IEEE
[1]M. Komurcu, K. Erler, S. Ozdemir, D. Bek, and M. Altinmakas, “The treatment of avascular necrosis of the femoral head with vascularized fibular grafting: a report of three cases”, Acta Orthopaedica et Traumatologica Turcica, vol. 39, no. 5, pp. 449–454, Sept. 2006, doi: 10.3944/aott.v39i5.643.
ISNAD
Komurcu, Mahmut - Erler, Kaan - Ozdemir, Serkan - Bek, Dogan - Altinmakas, Mehmet. “The Treatment of Avascular Necrosis of the Femoral Head With Vascularized Fibular Grafting: A Report of Three Cases”. Acta Orthopaedica et Traumatologica Turcica 39/5 (September 1, 2006): 449-454. https://doi.org/10.3944/aott.v39i5.643.
JAMA
1.Komurcu M, Erler K, Ozdemir S, Bek D, Altinmakas M. The treatment of avascular necrosis of the femoral head with vascularized fibular grafting: a report of three cases. Acta Orthopaedica et Traumatologica Turcica. 2006;39:449–454.
MLA
Komurcu, Mahmut, et al. “The Treatment of Avascular Necrosis of the Femoral Head With Vascularized Fibular Grafting: A Report of Three Cases”. Acta Orthopaedica et Traumatologica Turcica, vol. 39, no. 5, Sept. 2006, pp. 449-54, doi:10.3944/aott.v39i5.643.
Vancouver
1.Mahmut Komurcu, Kaan Erler, Serkan Ozdemir, Dogan Bek, Mehmet Altinmakas. The treatment of avascular necrosis of the femoral head with vascularized fibular grafting: a report of three cases. Acta Orthopaedica et Traumatologica Turcica. 2006 Sep. 1;39(5):449-54. doi:10.3944/aott.v39i5.643