带血管髂骨移植的十年应用经验

TEN YEARS EXPERINCES WITH VASCULARIAED ILIAC BONE GRAFT

作者自1979年用带旋髂深血管及臀上血管深上支的髂骨移植治疗骨缺损、骨折不连接及股骨头无菌性坏死114例。68例为带血管蒂转移,46例为吻合血管游离移植。早期骨痂形成在术后6周出现,3个月内获得骨性愈合。在32例股骨头无菌性坏死随诊1年以上者中,疼痛消失或减轻并有X线所见改善者31例。讨论了带血管髂骨移植的优点。

Since 1979, vascularized iliac bone graft based on the deep circumflex iliac vessels (DCIV) or the deep superior branches of superior gluteal vassels (SGV) was used to the treatment of bone defect, non-union of fracture, and aseptic necrosis of the femoral head in Ⅱ4 cases. Of these Ⅱ4 graftings, 68 were pedicled, 46 were microvascular free transfer. Early callus formation developed 6 weeks after surgery. Solid bony union was obtained in 3 months. Among 32 patients with aseptic necrosis of femoral head followed more than Ⅰ year, disappearance or relief of pain and improvement of X-ray findings were obtained in 3Ⅰ. The advantages of using vascularized iliac bone graft, especially based on the DCIV and SGV, are discussed. The author has a good opinion of vascularized iliac bone graft based on the SGV.