TABLE IX.
Bone-Grafting
| Study | No. of Hips | Stage of Disease | Type of Graft | Other Implants and/or Procedures | Mean Follow-up (Range)* (yr) | Hip Survivorship (%) |
| Nonvascularized | ||||||
| Level-II evidence | ||||||
| Lin et al.160 (2018) | 16 | Precollapse and postcollapse | Iliac crest bone autograft | Graft loaded into lantern-shaped screw | 3 (NR) | 88 |
| Level-IV evidence | ||||||
| Yildiz et al.152 (2018) | 28 | Precollapse and postcollapse | Iliac crest bone autograft | – | 4.4 (2-6.7) | 71† |
| Sallam et al.111 (2017) | 71 | Precollapse and postcollapse | Inverted femoral head autograft | – | 7.9 (3-14) | |
| Vascularized | ||||||
| Level-III evidence | ||||||
| Feng et al.137 (2019) | 84 | Precollapse and postcollapse | Greater trochanter flap | Corticocancellous iliac bone graft | 9.7 (6-9) | 92.9 |
| Zhang et al.159 (2019) | 115 | Precollapse | Sartorius muscle-pedicled iliac bone | – | 2.6 (2-4) | 87.5† |
| 84 | Circumflex iliac deep bone flap | – | 88.2† | |||
| Zhao et al.140 (2017) | 2179 | Precollapse and postcollapse | Lateral femoral circumflex vessel-pedicled iliac bone | – | 12‡ (5-25) | 82 |
| Ünal et al.145 (2016) | 26 | Precollapse and postcollapse | Free vascularized fibular graft | – | 7.6 (5-9) | 76.9 |
| Level-IV evidence | – | |||||
| Xie et al.138 (2019) | 847§ | Precollapse and postcollapse | Lateral femoral circumflex vessel-pedicled iliac bone | – | 15 (5-25) | 89.1# |
| Cho et al.157 (2018) | 24 | Precollapse | Gluteus medius-pedicled greater trochanter flap | – | 6.2 (2-10) | 87.5# |
| Chen et al.136 (2016) | 64 | Precollapse and postcollapse | Sartorius muscle-pedicled iliac bone | – | 2.9 (2-4) | 81.3 |
*
NR = not reported.
†
No radiographic progression.
‡
Median.
§
Traumatic cases excluded from analysis.
#
Avoided THA.