【摘要】 目的　经 17例 18侧带旋股外侧血管横支大转子骨与筋膜瓣髋关节成形术探讨一种新的手术方法。方法　在解剖学基础上 ,设计带旋股外侧血管横支大转子骨与筋膜瓣 ,进行髋关节成形术 17例 18侧 ,经过 6年 2个月～ 8年 2个月随访 ,观察手术效果。结果　 10例疼痛消失 ,1例有轻度疼痛 ,5例行走接近正常 ,2例疾走时有跛行 ;髋关节活动范围 ,屈伸 6 0°～ 12 0°,内收 5°～ 15°,外展 5°～ 10°,内旋 0°～ 5°,外旋 0°～ 5°;X线表现为关节间隙明显增宽或接近正常 ,股骨头轮廓清晰 ,大转子骨和股骨头愈合较好。结论　带血管蒂大转子骨与筋膜瓣覆盖在股骨头上不仅易于愈合 ,而且又以软骨样化生 ,髋关节功能恢复满意。更多还原

【Abstract】 Objective To evaluate a new method of arthroplasty by transposing the greater trochanter together with a fascia flap pedicled by a branch of transverse lateral circumflex femoral artery. Methods On the basis of anatomical study, arthroplasty of the hip by transposition of the greater trochanter with fascia flap pedicled by a branch of transverse lateral circumflex femoral artery was performed in 17 patients (18hip). All the patients were followed up for six years and two months to eight years and two months. Results Pain vanished in 10 cases, slight pain remained in 1 patient, walking was nearly normal in 5 patients, and 2 patients were still limping with fast walk. Range of movement of the hip joint was as follows: flexion and extension 60°-120°, adduction 5°-15°, abduction 5°-10°, internal rotation 0°-5°, and external rotation 0°-5°. As shown by radiography, the joint space was obviously enlarged, the configuration of the femoral head was sharp, and the union between the greater trochanter and the femoral head was good. Conclusion Transposition of the greater trochanter with fascia flap pedicled by a branch of transverse lateral circurmflex artery to femoral head could result in a solid union with cartilagenous ossification and satisfactory recovery of function of the hip joint.更多还原