带血管蒂髂骨瓣移植治疗青壮年股骨颈骨折骨不连

Pedicled Iliac Bone with Ascending Branch of Lateral Femoral Circumflex Artery in Treatment on Nonunion Cases of Femoral Neck Fractures in Young Adults

目的：评价带旋股外侧血管升支蒂的髂骨瓣治疗青壮年股骨颈骨折骨不连的临床疗效。方法：1996年5月—2009年6月采用带旋股外侧血管升支髂骨瓣移植治疗17例青壮年股骨颈骨折骨不连患者,平均随访26.8个月。结果：所有患者骨折均愈合,愈合时间4~8个月,平均5.6个月。未发现有股骨头缺血坏死病例。末次随访时Matta髋关节功能评价：优12例,良5例;Harris评分平均92.3分。结论：带旋股外侧血管升支蒂髂骨瓣是治疗青壮年股骨颈骨折骨不连的理想方法。

Objective：To evaluate the clinical effects of pedicled iliac bone with ascending branch of lateral femoral circumflex artery in treatment on nonunion cases of femoral neck fractures in young adults.Methods： Seventeen young adults patients with nonunion cases of femoral neck fracture were managed with pedicled iliac bone with ascending branch of lateral femoral circumflex artery from May 1996 June 2009.The mean follow-up period was 26.8 months.Results： Union occurred in all patients with a mean healing time of 5.6 months（rang 4 to 8 months）.No osteonecrosis of femoral head was found.At the lastest follow-up,based on Matta valuation as excellent in 12,good in 5.The mean Harris hip score was 92.3 points.Conclusions： Pedicled iliac bone with ascending branch of lateral femoral circumflex artery is an effective way of treating nonunion cases of femoral neck fractures in young adults.