{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T08:07:42Z","timestamp":1789978062161,"version":"4.0.1"},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2009,4,20]],"date-time":"2009-04-20T00:00:00Z","timestamp":1240185600000},"content-version":"vor","delay-in-days":109,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Traumatic dislocation of the hip results in osteonecrosis of the femoral head (ONFH) or avascular necrosis (AVN) in \u223c40% of patients. This high\u2010energy event causes an ischemic insult to the femoral head that may lead to ONFH. Here, we investigate use of Free\u2010Vascularized Fibular Grafting (FVFG) in patients with ONFH after traumatic hip dislocation. Thirty\u2010five patients with FVFG for this indication were reviewed (average follow\u2010up 3.3 years, range 1\u201321). We reviewed patient injury statistics, demographics, preoperative radiographs, pre\u2010 and postoperative Harris Hip scores, complications, and rate of conversion to total hip arthroplasty (THA). The majority (81%) of our patients were young males (22 years) with ONFH diagnosed an average of 2 years after injury. The average preoperative Harris Hip score was 64.9 which improved by over 10 points to 76.1 at 1\u2010year follow\u2010up. Seven of 35 patients required conversion to THA at an average of 45 (13\u201386) months postoperation. After a maximum follow up of 21 years, the remainder of the patients retained their native hips and Harris Hip scores tended to show improved hip function. \u00a9 2009 Wiley\u2010Liss, Inc. Microsurgery, 2009.<\/jats:p>","DOI":"10.1002\/micr.20648","type":"journal-article","created":{"date-parts":[[2009,4,21]],"date-time":"2009-04-21T00:10:41Z","timestamp":1240272641000},"page":"342-345","source":"Crossref","is-referenced-by-count":21,"title":["Free vascularized fibular grafting for treatment of osteonecrosis of the femoral head secondary to hip dislocation"],"prefix":"10.1002","volume":"29","author":[{"given":"Grant E.","family":"Garrigues","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"J. Mack","family":"Aldridge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer K.","family":"Friend","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James R.","family":"Urbaniak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,4,20]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"crossref","first-page":"27","DOI":"10.5435\/00124635-199701000-00004","article-title":"Mostafavi HRHip dislocation: Current treatment regimens","volume":"5","author":"Tornetta P","year":"1997","journal-title":"JAAOS"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2006.10.012"},{"issue":"1","key":"e_1_2_1_4_2","doi-asserted-by":"crossref","first-page":"87","DOI":"10.2106\/00004623-200403001-00012","article-title":"Free vascularized fibular grafting for the treatment of postcollapse osteonecrosis of the femoral head. Surgical Technique","volume":"86","author":"Aldridge JM","year":"2004","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B1.7822393"},{"key":"e_1_2_1_6_2","doi-asserted-by":"crossref","first-page":"856","DOI":"10.2106\/00004623-195032040-00015","article-title":"A study of the gross anatomy of the arteries supplying the proximal portion of the femur and the acetabulum","volume":"32","author":"Howe WW","year":"1950","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_1_7_2","first-page":"185","article-title":"Blood supply of the head of the femur in traumatic hip dislocation","volume":"144","author":"Duncan CP","year":"1977","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_8_2","first-page":"255","article-title":"Circulatory and vascular changes in the hip following traumatic hip dislocation","volume":"140","author":"Shim SS","year":"1979","journal-title":"Clin Orthop"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0201-z"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.20648","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.20648","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T19:58:03Z","timestamp":1699905483000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.20648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,1]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2009,1]]}},"alternative-id":["10.1002\/micr.20648"],"URL":"https:\/\/doi.org\/10.1002\/micr.20648","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,1]]}}}