摘要
目的观察减压和带肌蒂骨移植术治疗特发性股骨头坏死的效果。方法对20例24髋FicatⅡ~Ⅲ期患者,采用减压和带肌蒂髂骨块移植治疗。结果术后随访9~38个月,平均19个月。临床功能评价:优10髋,良10髋,差4髋。影像学评价:21髋病变无发展,3髋病变加重。结论该手术方法对FicatⅡ或Ⅲ期特发性股骨头坏死病人,具有缓解疼痛、改善髋关节功能和阻止或减缓病变发展,预防股骨头塌陷的效果。
The results of decompression and muscle-pedicle bone grafting for idiopathic necrosis of femoral head(INFH)was observed.Methods Decompression and muscle-pedicle iliac bone grafting was performed for 20 patients with Ficat stage Ⅱ~Ⅲof INFH.Results The patients were postoperatively followed between 9 and 38 months with an average of 19 months.The clinical evaluation was excellent in ten hips,good in ten and poor in four.Radiological evaluation showed no progression in 21 hips and showed progression of osteonecrosis in three hips.Conclusion This procedure was good for the patients with INFH in relieving pain,mproving hip function,arresting or slowing down the progression of osteonecrosis and preventing the collapse of fenmral head.
关键词
特发性
股骨头坏死
减压
带肌蒂骨
移植术
idopathic necrosis of femoral head decompression of femeral head mus cle-pedicle bone grafting