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Influence of Acetabular Coverage on Hip Survival After Free Vascularized Fibular Grafting for Femoral Head Osteonecrosis
James K. Brannon, MD1
1 Joint Preservation Center, University of Missouri Kansas City School of Medicine, Truman Medical Centers, 7900 Lee's Summit Road, Kansas City, MO 64139, e-mail: Phyein@aol.com
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Disclosure: The author did not receive any outside funding or grants in support of his research for or preparation of this work. The author, or a member of his immediate family, received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from a commercial entity (Orthopedic Sciences, Inc. [OSI]). No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the author, or a member of his immediate family, is affiliated or associated.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Feb 01;89(2):448-449
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To The Editor:I read with great interest the article entitled "Influence of Acetabular Coverage on Hip Survival After Free Vascularized Fibular Grafting for Femoral Head Osteonecrosis," (2006;88:2152-8), by Roush et al., and the commentary by Steinberg and Steinberg1. Indeed, this article and the commentary by Marvin Steinberg1 represent the views and thoughts of two senior authors with opposing opinions on how to treat osteonecrosis. Urbaniak2 supports vascularized bone-grafting, whereas Steinberg3 supports avascular cancellous bone-grafting. While the intent of the article by Roush et al. was not to document the clinical efficacy of either type of bone-grafting, the conclusions made therein invariably influence one's ability to recognize a potential limitation of free vascularized fibular grafting, and it is from this observation that I would like to offer a few comments.
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