带旋髂深血管的髂骨瓣移植治疗股骨头缺血性环死的临床观察

Treatment of avascular necrosis of the femoral head by grafting of bone flap of the ilium with deep iliac circumflex vascular

目的:探讨带旋髂深血管的髂骨瓣移植治疗骨头缺血性环死的疗效。方法:临床应用以旋髂深血管为蒂的髂骨瓣移植结合股骨头减压治疗股骨头缺血性坏死27例,其中男15例,女12例,年龄23～49岁,所有病例进行1～3年随访。结果:按Harris髋关节指数评价,优8例,良13例,可5例,差1例,优良率77．8％。结论:该术式增加股骨头血运,疗效确切,适应于青壮年股骨头缺血性环死Ⅰ～Ⅲ期病变的治疗。

Objective：To study the efficiency of the treatment of avascular necrosis of the femoral head by grafting of bone flap of ilium with deep lilac circumflex vascular.Methods：The grafting of bone flap of the ilium with deep iliac circumflex vascular combined with femoral head decompression to treat avascular necrosis of the femoral head in 27 patients （15 males,12 females with a average age of 37 years ranging in age from 23 to 49 years was analysed retrospectively .All cases were followed up or 1-3years.Remflts：According to the Harris score,the results were excellent in 8 cases,good in 13 cases,fair in 5 cases,and poor in 1 case.The excellent and good rate was 77.8%.Conclusion：This method can augment the blood supply of the femoral head and fit for the treatment of Ⅰ -Ⅲ stages of avascular necrosis of the femoral head in young and middle-aged patients.