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dc.contributor.authorÜnal, Mehmet Bekir
dc.contributor.authorCansu, Eren
dc.contributor.authorParmaksızoğlu, Fatih
dc.contributor.authorÇift, Hakan
dc.contributor.authorGürcan, Serkan
dc.identifier.citationÜnal, M. B., Cansu, E., Parmaksızoğlu, F., Çift, H. ve Gürcan, S. (2016). Treatment of osteonecrosis of the femoral head with free vascularized Şbular grafting: Results of 7.6-year follow-up. Acta Orthopaedica et Traumatologica Turcica, 50(5), 501–506.
dc.description.abstractObjectives: The aim of this study was to determine long term follow up of the patients who had femoral head osteonecrosis and had been treated with free vascularized fibular grafting. Patients and methods: We retrospectively reviewed 28 hips of 21 patients who had undergone free vascularized fibular grafting for the treatment of osteonecrosis of femoral head. There were 16 male and 5 female patients. The mean age of the patients at the time of surgery was 30.7 years (between 15 and 53 years). The mean follow-up time was 7.6 years (between 5 years and 9.2 years). Results: During follow-up, one patient died because of leukemia, and one patient was lost. The remaining 26 hips of 19 patients were evaluated. According to the Ficat classification, at the time of surgery, 17 hips were in grade 2 and 9 hips were in grade 3. The post-operative Harris hip scores in grade II disease were excellent in 12 patients, good in 3 patients, and fair in 1 patient. In grade III disease, 1 patient was excellent, 5 patients were good, and 1 patient was fair. There was a significant increase in HHS scores (61 ± 9.7 vs 84 ± 17.8, p < 0.001). Conclusion: Free vascularized fibular grafting yields extremely good results, particularly in pre-collapse stages of disease in young patients. The operation time does not mark increased if the surgical team is “familiar” with the procedure, and the residual fibular defect of the donor site does not impair the functions of daily livingen_US
dc.publisherActa Orthopaedica et Traumatologica Turcicaen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.subjectFree Vascularized Fibular Graftingen_US
dc.subjectOsteonecrosis of the Femoral Headen_US
dc.titleTreatment of osteonecrosis of the femoral head with free vascularized fibular grafting: Results of 7.6-year follow-upen_US
dc.relation.journalTurkish Assoc Orthopaedics Traumatologyen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

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