摘要
目的：阐明带血管蒂岛状筋膜瓣移植治疗晚期类风湿性髋关节炎的疗效。材料和方法：对４２例４８髋晚期类风湿性髋关节炎病人采用以旋股外侧血管降支为蒂的股前外侧筋膜瓣移植行患髋成形术。结果：术后随访４～１０．５年，平均４．５年，髋关节活动范围术前平均１６．５°，术后２２８．６°，按照Ｃｈａｒｎｌｅｙ和吴之康人工髋关节置换术后的疗效评定标准，优良２９髋、很好１３髋、好６髋，尚可、差、很差无。结论：患者年龄在１５～４０岁之间为合适的治疗年龄。与人工髋关节置换术相比，本方法对髋关节正常结构破坏小；一旦手术失败仍可选用其它治疗方法弥补；且并发症少、费用低、远期效果好。
Objective: To report the results of the treatment of advanced hip rheumatoid with vascularised fascial flap arthroplast. Method: 48 hips with advanced hip rheumatoid arthritis were treated by arthroplast with vascularised fascial flaps procured from the anterior laternal aspect of the thigh and pedicled by descending branch of lateral circumflex femoral vessels. Results: All patients were followed up for 4-10.5 years with an average of 4.5 years. The average range of hip motion was 16.5° preoperatively and 228.6° postoperatively. Acccording to the criteria of Charnley and Wu Zhikang, 29 hips were excellent, 13 better and 6 good. Conclusions: The suitable age for treatment is 15-40 years old. In comparison with the prosthetic replacement, this method had less damage to normal joint structure; other alternative methods could still be used if the operation failed; and it had less complications; it was less costly and had a better long term results.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1997年第9期554-556,I002,共4页
Chinese Journal of Orthopaedics
关键词
髋关节
类风湿性关节炎
筋膜移植
Hip joint Rheumatoid arthritis Fascia transplantation
