股骨头缺血性坏死保头治疗进展

PROGRESS OF JOINT-PRESERVING PROCEDURES FOR TREATMENT OF AVASCULAR NECROSIS OF FEMORAL HEAD

目的综述股骨头缺血性坏死(avascularnecrosis,AVN)保头治疗的研究进展。方法广泛查阅近10年股骨头AVN保头治疗的相关文献,并对其综合分析。结果股骨头AVN的保头治疗方法主要有髓芯减压、各种骨移植和截骨术。股骨头AVN早期通过手术修复可取得良好的治疗效果。结论通过手术修复技术特别是吻合血管的游离腓骨移植,可使股骨头修复获得良好的长期疗效。

Objective To review the researches on the joint-preserving procedures for the treatment of the avascular necrosis （AVN） of the femoral head. Methods The latest original literatures about the joint-preserving procedures for the treatment of AVN of the femoral head were extensively reviewed. Results There were many surgical joint-preserving procedures to treat AVN of the femoral head, such as core decompression, bone grafting, and osteotomy. Most researchers achieved excellent clinical results by using the joint-preserving procedures to treat the early stages of AVN of the femoral head. Conclusion Treating AVN of the femoral head by the joint-preserving procedures, especially the free vascularized fibula grafting, can achieve an excellent long-term clinical outcome.