病灶清除髓心减压带旋髂深血管蒂髂骨瓣移植治疗股骨头坏死Treatment of osteonecrosis of femoral head(ONFH)by lesion removed core decompression combining with tissue transplantation of pedicled deep circumflex iliac vessels bone flap
陆晓生;彭昊;凌尚准;
摘要(Abstract):
[目的]探讨病灶清除髓心减压带旋髂深血管蒂髂骨瓣移植治疗股骨头坏死(osteonecrosis of the femoralhead,ONFH)的临床疗效。[方法]采用病灶清除髓心减压带旋髂深血管蒂髂骨瓣移植治疗ONFH 28例42髋,其中男20例,女8例;年龄18~62岁,平均42.3岁。单双侧各14例。术后行髋关节功能及影像学评估。[结果]术后均获随访24~140个月,平均48.4个月。术后末次随访髋关节Harris评分与术前比较差异有统计学意义(P<0.05);优良率85.8%。[结论]病灶清除髓心减压带旋髂深血管蒂髂骨瓣移植治疗ONFH疗效满意,具有手术操作简便,术后关节功能恢复良好等优点。
关键词(KeyWords): 股骨头坏死;髓心减压;骨瓣;骨移植
基金项目(Foundation):
作者(Author): 陆晓生;彭昊;凌尚准;
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参考文献(References):
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