带血管蒂髂骨膜瓣移位治疗股骨头缺血性坏死

TREATMENT OF ISCHEMIC NECROSIS OF FEMORAL HEAD BY THE TRANSFER OF VASCULAR PEDICLED ILIAC PERIOSTEUM

目的 探讨带血管蒂的髂骨膜瓣移位治疗股骨头缺血性坏死的疗效。方法 1983 年6 月1997年8 月,应用带旋股外血管升支或旋髂深血管蒂的髂骨膜瓣移位治疗股骨头缺血性坏死106 例,其中Ⅱ期64 例,Ⅲ期39 例,Ⅳ期3 例。结果 106 例经2 年4 个月16 年随访,根据赵德伟制定的成人股骨头缺血性坏死修复与再造疗效评价方法,优54 例,良38 例,可9 例,差5 例,优良率为86-8 % 。结论 带血管蒂髂骨膜瓣移位治疗股骨头缺血性坏死具有血管蒂恒定、取材方便。

Objective To investigate the therapeutical effect of treatment of ischemic necrosis of femoral head by the transfer of vascular pedicled iliac periosteum. Methods From June 1983 to August 1997, 106 cases with ischemic necrosis of femoral head (Ⅱstage in 64 cases, Ⅲ stage in 39 cases, Ⅳ stage in 3 cases) were treated by the transfer of vascular pedicled iliac periosteum with ascending branch of lateral femoral circumflex vessel or deep circumflex iliac vessel pedicle. Results Followed up 2 years and 4 months to 16 years, there were excellent in 54 cases, better in 38 cases, moderate in 9 cases, poor in 5 cases, and 86.8% in excellent rate according to the criterion of the therapeutical effect on the repair and reconstruction of adult ischemic necrosis of femoral head. Conclusion Treating ischemic necrosis of femoral head by the transfer of vascular pedicled iliac periosteum has the advantage of constant pedicle, easily drawing materials and reliable therapeutical effect.