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Treatment of osteonecrosis of the femoral head with vascularized bone grafting

  • Modern Surgical Treatment of Hip Avascular Necrosis (MA Mont, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Osteonecrosis of the femoral head (ONFH) is a challenging diagnosis for the patient and treating surgeon. Though its cause is poorly understood, several methods of surgical treatment exist and are performed with variable success. Vascularized bone grafting is one such treatment that attempts to restore viable bone, structural support, and blood supply to the avascular portion of the femoral head. This review summarizes the various approaches to this technique that have been proposed and put into practice. The cost effectiveness of these procedures, both in time and resources, has been evaluated and found to be favorable. The use of revascularization procedures, along with the introduction of other potentiating factors, may signal an exciting future for this debilitating disease process.

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Conflict of Interest

Patrick D. Millikan and Vasili Karas declare that they have no conflict of interest. Samuel S. Wellman reports grants from Stryker, Zimmer, Biomet, and DePuy and personal fees from TJO.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Duke University Medical Center, Duke University, 40 Duke Medicine Circle, Room 5309 (Orange), Box 3000, Durham, NC, 27710, USA

    Patrick D. Millikan & Vasili Karas

  2. Department of Orthopaedic Surgery, Duke University Medical Center, Duke University, 4709 Creekstone Drive Suite 200, Durham, NC, 27703, USA

    Samuel S. Wellman

Authors
  1. Patrick D. Millikan
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  2. Vasili Karas
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  3. Samuel S. Wellman
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Corresponding author

Correspondence to Samuel S. Wellman.

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This article is part of the Topical Collection on Modern Surgical Treatment of Hip Avascular Necrosis

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Millikan, P.D., Karas, V. & Wellman, S.S. Treatment of osteonecrosis of the femoral head with vascularized bone grafting. Curr Rev Musculoskelet Med 8, 252–259 (2015). https://doi.org/10.1007/s12178-015-9285-8

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  • DOI: https://doi.org/10.1007/s12178-015-9285-8

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