{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T16:20:54Z","timestamp":1771863654420,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,7,27]],"date-time":"2015-07-27T00:00:00Z","timestamp":1437955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Funda\u00e7\u00e3o Santa-Maria-Silva"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate femoral head bone viability following free vascularized fibular grafting (FVFG) for osteonecrosis using SPECT\/CT imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ten hips (9 patients) with osteonecrosis of the femoral head (ONFH) undergoing FVFG were prospectively enrolled. Four cases showed ARCO stage II, while six showed ARCO stage III. The mean age at surgery was 15.7 years (range, 13\u201322 years). Hip Harris Score (HHS) was measured pre\u2010 and post\u2010operative. Bone scintigraphy with SPECT\/CT was performed at 2 weeks and 6 months following surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean follow\u2010up was 4.0 years (range, 2\u20135.9 years). Mean HHS increased from 37.2 to 92.3. SPECT\/CT findings revealed a progressive increase of femoral head uptake in all cases, suggesting subchondral graft bone viability. No progressive deformation of the femoral head was evidenced in radiographic evaluation at final follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates FVFG's capacity for revitalizing femoral head subchondral bone grafting in patients with ONFH, surgically treated following Urbaniak's technique. \u00a9 2015 Wiley Periodicals, Inc. Microsurgery 36:573\u2013577, 2016.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.22452","type":"journal-article","created":{"date-parts":[[2015,7,27]],"date-time":"2015-07-27T15:11:14Z","timestamp":1438009874000},"page":"573-577","source":"Crossref","is-referenced-by-count":20,"title":["Femoral head bone viability after free vascularized fibular grafting for osteonecrosis: <scp>SPECT<\/scp>\/<scp>CT<\/scp> study"],"prefix":"10.1002","volume":"36","author":[{"given":"Cesar G.","family":"Fontecha","sequence":"first","affiliation":[{"name":"Pediatric Orthopaedic Unit, Hospital Universitari Vall D'hebron Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Roca","sequence":"additional","affiliation":[{"name":"Nuclear Medicine Department Hospital Universitari Vall D'hebron Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignasi","family":"Barber","sequence":"additional","affiliation":[{"name":"Pediatric Radiology Department Hospital Universitari Vall D'hebron Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariano E.","family":"Menendez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Massachusetts General Hospital Boston MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Collado","sequence":"additional","affiliation":[{"name":"Hip Surgery Unit Hospital Universitari Vall D'hebron Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasco V.","family":"Mascarenhas","sequence":"additional","affiliation":[{"name":"Radiology Department UIME, Hospital Da Luz Lisboa Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Barrera\u2010Ochoa","sequence":"additional","affiliation":[{"name":"Hand Surgery Hospital Universitari Vall D'hebron Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Soldado","sequence":"additional","affiliation":[{"name":"Pediatric Hand Surgery and Microsurgery Hospital Sant Joan De Deu. Universitat De Barcelona  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,27]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"337","article-title":"Osteonecrosis of the hip: Management in the 21st century","volume":"52","author":"Lieberman JR","year":"2003","journal-title":"Instr Course Lect"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.01041"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-012-1584-6"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200105000-00014"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22149"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20837"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199505000-00004"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199801000-00005"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22299"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22114"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2006.10.007"},{"key":"e_1_2_6_13_1","first-page":"1006","article-title":"Bone SPECT is more sensitive than MRI in the detection of early osteonecrosis of the femoral head after renal transplantation","volume":"43","author":"Ryu JS","year":"2002","journal-title":"J Nucl Med"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2001.23716"},{"key":"e_1_2_6_15_1","first-page":"261","article-title":"The use of postoperative bone scintigraphy to predict graft retention","volume":"50","author":"Droll KP","year":"2007","journal-title":"Can J Surg"},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","first-page":"987","DOI":"10.2106\/00004623-200306000-00001","article-title":"Free vascularized fibular grafting for the treatment of postcollapse osteonecrosis of the femoral head","volume":"85","author":"Berend KR","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02593"},{"key":"e_1_2_6_18_1","doi-asserted-by":"crossref","first-page":"589","DOI":"10.2106\/00004623-200304000-00001","article-title":"Vascularized compared with nonvascularized fibular grafting for the treatment of osteonecrosis of the femoral head","volume":"85","author":"Plakseychuk AY","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197612000-00009"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003072-199205000-00012"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(03)00005-5"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00259-008-0930-y"},{"key":"e_1_2_6_23_1","first-page":"1629","article-title":"Bone scanning of limited value for diagnosis of symptomatic oligofocal and multifocal osteonecrosis","volume":"35","author":"Mont MA","year":"2008","journal-title":"J Rheumatol"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-007-0320-2"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-012-2610-0"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198908000-00009"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003072-200103000-00009"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22179"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.22452","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.22452","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T08:45:08Z","timestamp":1695545108000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.22452"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,27]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,10]]}},"alternative-id":["10.1002\/micr.22452"],"URL":"https:\/\/doi.org\/10.1002\/micr.22452","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,27]]}}}