Vascular pedicled iliac bone grafting is effective in patients with an early stage of femoral head avascular necrosis

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dc.authoridKarakaplan, Mustafa/0000-0001-9035-0319
dc.authoridErtem, Kadir/0000-0002-8892-494X
dc.authorwosidElmali, Nurzat/A-1017-2014
dc.authorwosidKarakaplan, Mustafa/IXN-3318-2023
dc.authorwosidErtem, Kadir/ABG-9780-2020
dc.contributor.authorElmali, Nurzat
dc.contributor.authorErtem, Kadir
dc.contributor.authorKarakaplan, Mustafa
dc.contributor.authorPepele, Demet
dc.contributor.authorDaggez, Cihat
dc.contributor.authorTopgul, Haldun
dc.date.accessioned2024-08-04T20:09:46Z
dc.date.available2024-08-04T20:09:46Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjectives: This study aims to evaluate clinical and radiological findings of a series of patients with avascular necrosis of the femur head (ANFH) treated by core decompression and vascular pedicled iliac crest grafting. Patients and methods: This retrospective study included 26 hips of 22 patients (14 males, 8 females; mean age 36 years; range 16 to 48 years) with ANFH using the vascularized iliac bone grafting between March 2003 and July 2010 in our clinic. The main predisposing factor was steroid use in 13 patients. All patients were assessed clinically according to the Harris hip score and by radiographs by the Association Internationale de Recherche sur la Circulation Osseuse (ARCO) staging system. Results: The mean follow-up was 36 (range 14 to 62) months. Eleven hips (42%) had stage II and 15 hips (58%) had stage III ANFH. The mean Harris scores increased from 52 (range 31 to 63) to 82.8 (range 62 to 90) after surgery. Based on clinical outcomes, 18 hips (69%) were presented as excellent and good, while eight hips presented fair and poor. According to the ARCO staging system, satisfactory results were provided in 17 (65%) of the 26 hips. Two of four hips at preoperatively stage II progressed to stage III, two other hips to stage IV. Five hips at stage III preoperatively progressed to stage IV and these hips had to undergo hip replacement. Conclusion: Our results suggest that core decompression and the vascular pedicled iliac bone grafting are effective in early stages of ANFH.en_US
dc.identifier.doi10.5606/ehc.2014.02
dc.identifier.endpage7en_US
dc.identifier.issn1305-8282
dc.identifier.issue1en_US
dc.identifier.pmid24650377en_US
dc.identifier.scopus2-s2.0-84897830566en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage2en_US
dc.identifier.trdizinid155012en_US
dc.identifier.urihttps://doi.org/10.5606/ehc.2014.02
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/155012
dc.identifier.urihttps://hdl.handle.net/11616/92418
dc.identifier.volume25en_US
dc.identifier.wosWOS:000334479400002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Joint Diseases Foundationen_US
dc.relation.ispartofEklem Hastaliklari Ve Cerrahisi-Joint Diseases and Related Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAvascular necrosisen_US
dc.subjectfemoral headen_US
dc.subjectvascularized iliac graften_US
dc.titleVascular pedicled iliac bone grafting is effective in patients with an early stage of femoral head avascular necrosisen_US
dc.typeArticleen_US

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