带血管蒂髂骨膜植入治疗股骨头无菌性坏死的探讨

Further Discussion of Implants of Iliac Periosteum with Pedicle Blood Vessels for Treatment of Aseptic Necrosis of Femoral Head

应用带血管蒂髂骨膜植入治疗股骨头无菌性坏死50例。术后经1.5～7年随访,优27例(53％);良16例(33％);可7例(14％);优良率为86％。该方法有以下作用:1、增加了股骨头的血液供应;2、带血管的髂骨骨膜可以在股骨头内膜化生骨;3、重建一套股骨头的血液供应系统。作者认为该手术是一种安全、有效,易行的治疗方法。

From November 1985 to May 1994, we have implanted iliac periosteum with pedicle of deep circumflex iliac blood vessels for 50 cases of aseptic necrosis of femoral head. The follow-up period varied from 1. 5-7years, and the results showed 27 cases (53%)excellent , 16 cases (33%)good and 7 cases (14%)fair. The effective rate was as high as 86%. Advantages of this method are as follows: 1. The blood supply of the femoral head is aug-meuted, and thus interrupts the process of pathological changes. 2. Pedicle vascularized iliac periosteum may produce membrane bone in femoral head. 3. A set of blood supply system for the femoral head may be rebuilt. Authors belived it is a safe and useful method.