摘要
目的观察关节镜下髓芯减压骨膜骨颗粒坚实充填移植治疗青壮年股骨头坏死的临床效果。方法对25例(36髋)股骨头坏死于X线机透视下在股骨大转子下经股骨颈打1条通向病灶的骨隧道,经该隧道放置关节镜并行病灶清除;用约3mm×3mm×3mm的自体髂骨颗粒与1mm3的胫前骨膜颗粒的混凝物坚实充填股骨头骨洞。参照百分法进行疗效分析。结果X线片多显示较好的骨修复,疼痛及功能多改善明显。总优良率为72.2%,其中Ⅰ期(3髋/3髋)、Ⅱ期(15髋/19髋)、ⅢA和ⅢB期(7髋/11髋)患者治疗效果较好,ⅢC期较差(1髋/3髋)。结论初步观察该方法可用于治疗Ⅰ期、Ⅱ期、ⅢA期、ⅢB期青壮年股骨头坏死患者。
Objective To observe the clinical effect of arthroscopy core decompression and morselized bone and periosteum grafting for treatment of ostconecrosis of femoral head （ONFH）. Methods A tunnel to the focus was made in the femoral neck under radioscopy, through which the focus was eliminated under arthroscopy supervision. The morselized bones （3 mm×3 mm×3 mm） from the ilium and the morselized periosteum （ 〈 1 mm^3） from anterior tibia periosteum （6-12 cm^2, approximately equaled to the surface area of cavity in femoral head） were obtained, and they were concreted by a little fibrin glue and stuffed firmly into the cavities of the femoral heads. Results According to the Harris criteria, the rate of excellent and good results was 72.2%. The results were better in Stage Ⅰ （3/3）, Stage Ⅱ （15/19） and Stage Ⅲ A, B （7/11）, and were poor in Stagem C （1/3）. Conclusion Such method can be used in the young and middle aged patients with ONFH in Stage Ⅰ , Stage Ⅱ and Stag Ⅲ A, B.
出处
《中国骨与关节损伤杂志》
2007年第11期902-904,共3页
Chinese Journal of Bone and Joint Injury
关键词
关节镜
髓芯减压
颗粒骨膜
颗粒骨
股骨头坏死
Arthroscopy
Core decompression
Morselized periosteum
Morselized bone Graft
Osteonecrosis of femoral head
