Predictive factors for vascularized iliac bone graft for nontraumatic osteonecrosis of the femoral head

Nagoya, Satoshi; Nagao, Masafumi; Takada, Junichi; Kuwabara, Hiromichi; Wada, Takuro; Kukita, Yutaka; Yamashita, Toshihiko

doi:10.1007/s00776-004-0841-0

Cited by 22 publications

(39 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found five studies (163 hips) evaluating five different operative procedures that analyzed outcomes based on extent of involvement of the weightbearing surface of the femoral head (Table 6) [26,39,40,46]. The location of the lesion was described according to the Japanese Investigation Committee's 2001 revised criteria for diagnosis, classification, and staging of idiopathic osteonecrosis of the femoral head [53].…”

Section: Resultsmentioning

confidence: 99%

“…In addition, a number of studies did not report complete data on the outcome of each hip. For example, 32 studies [3, 5, 7-9, 15, 17, 19, 23, 26, 28, 29, 33-35, 38, 40, 44-48, 52, 54-58, 60, 61, 63, 64] reported data only in terms of conversion to THA, and seven reported only in terms of progression of disease [2,4,22,30,39,42,62]. Only 15 studies reported data in terms of both conversion to THA and progression of disease [1,6,11,12,14,16,18,20,21,24,27,49,50,65,66].…”

Section: Discussionmentioning

confidence: 97%

“…Numerous procedures have been proposed to treat this condition, including core decompression [1,6,18,19,24,29,47,49,58,63], vascularized grafts [3,5,7,8,20,27,28,30,39,50,61,66], and osteotomy [2,9,16,17,23,40,44,45,62]. The term ''core decompression'' represents a spectrum of procedures that may include one large core tract or multiple small tracts [25,32].…”

Section: Introductionmentioning

confidence: 99%

“…The term ''core decompression'' represents a spectrum of procedures that may include one large core tract or multiple small tracts [25,32]. Additionally, core decompression may be supplemented with a vascularized [3,5,7,8,20,27,28,30,39,50,61,66] or nonvascularized graft [21,29,34,46,52,64] or with electrical stimulation [52]. Marker et al [33] compared the core decompression procedures before 1992 and between 1992 and 2007 and found patients with collapse of the femoral head often have progression of disease after a femoral head-saving procedure.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Which Factors Influence Preservation of the Osteonecrotic Femoral Head?

Lieberman

Engstrom

Meneghini

et al. 2012

Clinical Orthopaedics &Amp; Related Research

144

108

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Which Factors Influence Preservation of the Osteonecrotic Femoral Head?

Lieberman

Engstrom

Meneghini

et al. 2012

Clinical Orthopaedics &Amp; Related Research

144

108

View full text Add to dashboard Cite

show abstract

“…Curettage of the lesion followed by bone grafting is insufficient for revascularisation [21]. Vascularised iliac bone grafting has been partially successful for hips without preoperative collapse, but it is still thought to be insufficient for biomechanical support [22]. Prosthetic replacement is also unsuitable for younger patients because of their higher activity level and longer life span [23].…”

Section: Discussionmentioning

confidence: 99%

Treatment of osteonecrosis of the femoral head in lymphoma patients by free vascularised fibular grafting

Yin

Zhang

Jin

et al. 2010

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The purpose of this study was to assess the outcomes of treatment of femoral head osteonecrosis using free vascularised fibular grafting in patients with Hodgkin's disease and non-Hodgkin's lymphoma. We retrospectively reviewed seven patients (14 hips) with lymphoma who underwent free vascularised fibular grafting for osteonecrosis of the femoral head, evaluating pre-and postoperative Harris hip scores, visual analog scale (VAS) pain scores, hip range of motion and radiographs. Patients were followed up for a minimum of 1.5 years (mean, 3.3 years). All these patients exhibited good recovery without severe lifethreatening complications. The mean Harris hip score improved from 69 to 88, while average VAS pain score decreased from 54 to 18. At the latest follow-up, we found improvement or unchanged radiographs in all three hips with initial Steinberg stage II osteonecrosis and in nine of 11 hips with stage III or IV osteonecrosis. No hips failed treatment and underwent total hip arthroplasty. The clinical data demonstrated that free vascularised fibular grafting can slow or even halt progression of necrosis, and improve the function of the hip and quality of life in lymphoma patients.

show abstract

Complications in Deep Circumflex Iliac Artery‐Related Vascularized Free Iliac Flap

Zhang,

Qiu,

Cao

et al. 2024

Head & Neck

View full text Add to dashboard Cite

BackgroundSince its first application in 1978, the vascularized free iliac flap (VFIF) has gradually become a mainstay for tissue defect reconstruction. However, the complications associated with harvesting the bone flap and its corresponding reconstruction surgery cannot be overlooked.MethodsWe conducted a narrative review through literature search to identify the types, incidence, influencing factors, measurement methods, and treatment approaches of complications related to DCIA‐related VFIF.ResultsWe propose the “LIP” rule (Loss, Injury, Postoperative) for classifying donor site complications. For the four most common recipient sites, mandible, maxilla, extremities, and hip joint, we list the common and rare complications that may occur. Additionally, we provide a summary of the methods and advances in preventing these complications.ConclusionsWe comprehensively describe the complications observed in the application of DCIA‐related VFIF and introduce the “LIP” principle and other strategies to minimize or avoid adverse outcomes.

show abstract

Predictive factors for vascularized iliac bone graft for nontraumatic osteonecrosis of the femoral head

Cited by 22 publications

References 10 publications

Which Factors Influence Preservation of the Osteonecrotic Femoral Head?

Which Factors Influence Preservation of the Osteonecrotic Femoral Head?

Treatment of osteonecrosis of the femoral head in lymphoma patients by free vascularised fibular grafting

Complications in Deep Circumflex Iliac Artery‐Related Vascularized Free Iliac Flap

Contact Info

Product

Resources

About