[Therapeutic progress of avascular osteonecrosis of the femoral head using a fibular graft by vascular anastomosis].

This article reviews the history and development of as well as the results using a fibular graft by vascular anastomosis for the treatment of avascular osteonecrosis of the femoral head. Vascular anastomosed fibular grafting has been reported to be successful for patients with early stages and precollapse osteonecrosis of the femoral head. The method can be used to preserve the hip joint function. Vascular anastomosed fibular grafting can be the transfer of vascularized bone grafts into the necrotic portions of the femoral head. Such a procedure, in addition to replacing necrotic bone with healthy bone, also establishes a new source of circulating blood of the femoral head. Free avascularized bone grafting for the treatment of avascular osteonecrosis of the femoral head may lead to higher rates of successful treatment and superior to those of core decompression and nonoperative treatment.