Recently, experiences of vascular-bundle transposition into avascularized bones, are reported, in expectation of early remodeling.
We transposed lateral femoral circumflex artery and veins into avascularized femoral heads, which were ideopathic or, secondary to non-united femoral neck fracture.
Also, transposed dorsalis pedis artery and veins, into avascularized body of the talus secondary to talusfracture.
Either case revealed remarkable remodeling of avascularized bone by X-ray, in 4-5 months, and obtained excellent result free from pre-operative pain.
Post operative angio-graphy, in avascular necrosis of talus, revealed revascularization of transposed vascular bundles, but in cases of avasclar necrosis of femoral head, revealed no revascularization.
