摘要
股骨头缺血性坏死是骨科领域尚未解决的问题之一。自１９８３年３月～１９９４年１月，作者采用带旋髂深血管蒂髂骨骨膜治疗股骨头缺血性坏死６０例（７５侧），经过３～１１年随访，并采用股骨头缺血坏死疗效百分评价法判定，优良率占８８．５％。其具有以下优点：（１）清除死骨彻底减压；（２）重建股骨头血液循环系统；（３）带血管的骨膜植入可为股骨头带人成骨效应成分，加速骨重建。此种手术方法适于治疗各种类型股骨头缺血坏死Ｉ、ＩＩ、ＩＩＩ期患者，对于部分较年轻不宜行关节置换的晚期病例，仍不失为一种有效的方法，且不妨碍日后人工关节的置换。
AbstractAvascular necrosis of the femoral head is a fairly common condition frequently encountered in association with Legg-Perthes disease in children,also following fracture of the femoral neck a nd steroid administration in adults。The method of treatment varies and the results are far from satisfactory。From 1983 to 1994,the authors had used a new technique for the treatment of 75 hips in 60 patients withavascular necrosis of the femoral head(ANFH)usingthe vascularized iliac periosteum with deep iliaccircumflex artery and vein pedicle,which reestablishedthe circulation and introduced new vascular beds andosteoprogenitor cells in the avascular area。52 patientswere followed up for 3～11 years giving satisfactoryresults。The success rate was 88.5%;All patientswere evaluated clinically and roentgenographicallyaccording to a new Grading Treatment System forANFH by the Chnese Society of Osteonecrosis.Thenew systern was formulated in an effort to encompassall the important variables into a single reliable figurewhich is both reproducible and reasonably objective。Itis highly expected that vascular pedicle periosteal graftcan prevent the necrotic femoral head from progressingto collapse and promote vascularization and new boneformation。The authors believe that the technique issuitable for the treatment of ANFH of the stage I toIII.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第9期567-569,共3页
Chinese Journal of Orthopaedics
