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带肌蒂松质骨骨栓植入治疗股骨头缺血性坏死

Treatment of Avascular Necrosis of Femoral Head by Grafting Cancellous Bone Bolt with Sartorius Pedicle

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【作者】 王建超; 夏仁云;

【Author】 Wang Jianchao; Xia Renyun(Department of Orthopaedics, Tongji Hospital, Tongji Medical University, Wuhan 430030)

【机构】 同济医科大学附属同济医院外科!武汉; 430030;

【摘要】 介绍48例(共50例髋关节)股骨头缺血性坏死。原发性9例,继发性39例.其中股骨颈骨折并发股骨头坏死37例,长期使用皮质激素2例,均为双侧,共50例髋关节。以Ficat分期,Ⅰ期4例,ⅡA、ⅡB期34例,Ⅲ期12例。患者均采用坏死骨刮除带缝匠肌肌带松质骨骨拴植入治疗.并进行术后回顾性随防分析,随访时间足坛名年,最短1年,平均2.名年。结果表明:优良者43例,占86.0%,无并发症发生。对手术方法及其效果进行了分析讨论。

【Abstract】 The results of 50 hips in fortyeight patients who had osteonecrosis of the femoral head were assessed after treatment by grafting cancellous bone bolt with sartorius pedicle. According to Ficat, 34 hips were classified as stage Ⅱ, 12 as stage Ⅲ and 4 as stage 1. The postoperative effects were evaluated by melzer C 200 points. The patients were followed up for 1-4 years (mean: 2. 4 years). The result showed that 43 cases (petients) were satisfactory, which dominated over the group (86. 0 %).

  • 【文献出处】 同济医科大学学报 ,ACTA UNIVERSITATIS MEDICTNAE TANGJI , 编辑部邮箱 ,1997年01期
  • 【分类号】R681.8
  • 【被引频次】5
  • 【下载频次】26
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