摘要
目的 探讨用带旋髂深血管髂骨瓣治疗中青年股骨颈骨折和股骨头缺血性坏死的方法和疗效。方法 采用逆行法切取旋髂深血管髂骨瓣移位 ,与血管束植入联合应用治疗中青年股骨颈头下型骨折 14例 ,与截骨术联合应用治疗股骨头缺血坏死 2 2例。结果 经 2～ 6年随访 ,2例股骨头进一步塌陷、1例股骨颈骨折不愈合 ,3例全部改为全髋关节置换术 ;其他病例髋关节功能恢复满意。结论 带旋髂深血管髂骨瓣移位术与其他手术方式联合应用是治疗股骨颈骨折及股骨头缺血坏死较好的方法。逆行法切取髂骨瓣具有简便。
Objective To study methods and effects of the treatment of femoral neck fractures in young and middle aged adults and femoral head avascular necrosis with pedicled bone flap transposition of deep iliac circumflex blood vessel. Methods 14 cases of avascular necrosis in femoral head and 22 cases of femoral neck fracture received this operation. Results With the exception of 2 cases of avascular necrosis of femoral head and 1 case of femoral neck fracture,all the patients obtained satisfactory joint function after 2～6 years follow up. Conclusion The procedure is an ideal treatment for the avascular necrosis of the femoral head and femoral neck fracture by pedicled bone flap with deep iliac circumflex artery. This operation is characterized by simplicity and safety.
出处
《临床骨科杂志》
2001年第1期62-63,共2页
Journal of Clinical Orthopaedics
关键词
骨移植
肌骨颈骨折
股骨头坏死
治疗
bone transplantation
femoral neck fractures
femur head necrosis
