摘要
目的探讨带旋髂深血管蒂髂骨瓣移植治疗陈旧性股骨颈骨折的临床效果。方法对 2 0例陈旧性股骨颈骨折患者采取带旋髂深血管蒂髂骨瓣移植加内固定手术进行治疗。结果术后经 3年 6个月至1 3年 1个月随访 (平均 6年 3个月 ) ,术后 4～ 6个月均达骨性愈合 ,平均愈合时间为 4 .5个月 ,2例头下型骨折发生股骨头缺血性坏死 ,髋关节功能优良率达 95 %。结论带旋髂深血管蒂髂骨瓣血管位置恒定 ,取材方便 ,血供充足 ,疗效可靠 ,能促进骨折愈合 ,减少股骨头坏死和骨折不愈合的发生 ,是治疗青壮年陈旧性股骨颈骨折的有效方法。
ObjectivesTo investigate the clinical efficacy for treatment of the unhealed old femoral neck fractures in youth by transplantation of pedicled bone flap with deep iliac circumflex artery.MethodsTransplantation of pedicled bone flap with deep iliac circumflex artery plus internal fixation. were performed in 20 cases of old femoral neck fractures.ResultsAfter follow up for an average of 75 (42～157) months,all patients healed without non union, their mean time of healing was 4.5 (4～6) months. Ischemic necrosis of femoral head occurred in 2 cases of subhead type fracture. Their excellent rate of hip joint function was 95%.ConclusionThe pedicled bone flap with deep iliac circumflex artery has following advantages: constant location of blood vessels, easily to turn the bone flap, adequate supply of blood and reliable therapeutic efficacy. The transplantation can improve the union of fractures and reduce the rate of avascular necrosis on femoral head and occurrence of non union. It is a valuable method to treat old femoral neck fractures in youth.
出处
《医学临床研究》
CAS
2003年第12期904-906,共3页
Journal of Clinical Research
