Eur J Plast Surg (2016) 39:399–400 DOI 10.1007/s00238-015-1168-0 LETTER TO THE EDITOR Unsuccessful vascularized fibular periosteal graft for treatment of femoral head osteonecrosis 1 2 3 4 Mariano E. Menendez & Cesar G. Fontecha & Vasco V. Mascarenhas & Jorge Knorr & Francisco Soldado Received: 24 September 2015 /Accepted: 15 October 2015 /Published online: 6 November 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, Herein, we report that a 17-year-old female presented There is wide consensus that, if possible, femoral head with bilateral persistent hip pain related the use of steroids preservation procedures should be attempted to delay the need to treat a hematologic disease at the age of 14. Radiographs for hip replacement in young patients with osteonecrosis of and MRI were consistent with bilateral ONFH, Ficat stage the femoral head (ONFH) . III with minimal collapse (left hip), and Ficat stage I (right Free vascularized fibular grafting (FVFG) has been de- hip). scribed as an effective means of salvaging the necrotic femoral The right hip was surgically treated with the FVFG tech- head . This technique provides revascularization, mesen- nique, as described by Urbaniak and colleagues . Postop- chymal stem cells, and adequate mechanical support to the erative evolution
European Journal of Plastic Surgery – Springer Journals
Published: Nov 6, 2015
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