Sixty-five @entity1 (88 hips) who received free vascularized fibula grafting for treatment of @entity2530 of the femoral head at the University of Pittsburgh Medical Center, were followed for at least 3 years (average followup, 5.5 years; range, 3-7 years). There were 46 @entity1 and 19 @entity1 with an average age of 37 years (range, 20-52 years). All @entity1 were evaluated using history, physical examination, Harris Hip Score, anteroposterior and lateral radiographs, and magnetic resonance images. The classification system of Steinberg et al (1995) was used to stage the disease. At final evaluation, 31 hips (35.2%) were rated excellent (Harris Hip Score > 90 points, minimal or no @entity158 ), 30 hips (34.1%) were rated good (Harris Hip Score 80-89 points, @entity158 ), seven hips (8%) were rated fair (Harris Hip Score 70-79, slight or moderate @entity158 ), and 20 hips (22.7%) were rated poor (Harris Hip Score < 70, @entity158 ). Twenty hips in 17 @entity1 required total hip arthroplasty. In the remaining hips, the disease apparently arrested and the contour of the femoral head was preserved. Kaplan-Meier survivorship analyses showed that the probability of conversion to total hip arthroplasty within an average of 5.5 years after free vascularized fibula grafting was 28% for Stage II hips and 38% for Stages III and IV hips. The hip survival rate for subgroups at 5.5 years was 100% for Stages IC and IIA, 94% for Stage IIB, 50% for Stage IIC, 80% for Stage IIIB, 58% for Stage IIIC, 72% for Stage IVA, and 58% for Stage IVB. Free vascularized fibula grafting is a reliable operation and can preserve hip function and diminish @entity158 successfully.

Free vascularized fibula grafting for the treatment of XXXX of the femoral head.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'slight pain'] @entity2530 :: ('MESH:D010020', 'Disease') :: ['osteonecrosis']
@entity2530 :: (MESH:D010020,Disease) :: ['osteonecrosis']
