【摘要】 目的　探讨用吻合血管的腓骨游离移植对股骨头缺血性坏死的应用效果。　方法　 2 0 0 0年 10月～2 0 0 2年 2月 ,对 2 6例 ( 31髋 )股骨头缺血性坏死采用了吻合血管的腓骨游离移植治疗并进行随访观察。获随访的 2 1例( 2 5髋 )随访时间为 6～ 18个月 ,平均 12个月。根据患髋术前 Steinberg分期 : 期 ,5髋 ; 期 ,8髋 ; 期 ,12髋。　结果2 1例 ( 2 5髋 )中各期患者的 Harris评分在术后均有不同程度的提高。其中疼痛症状明显缓解 ,术后患者能恢复正常日常生活和工作。随访的 X线片显示 ,18髋的股骨头上出现了不同程度的改善 ,6髋未出现明显的改变 ,1髋恶化。　结论　吻合血管的腓骨游离移植是治疗股骨头缺血性坏死的一种有效方法 ,能够阻止或延缓病情的发展更多还原

【Abstract】 Objective To evaluate the effect of the treatment of necrosis of femoral head with the free vascularized fibula grafting. Methods From October 2000 to February 2002, 31 hips in 26 patients with ischemic necrosis of the femoral head were treated with free vascularized fibula graft. Among these patients, 21 patients (25 hips) were followed up for 6 18 months(12 months on average). According to Steinberg stage:Ⅱ period, 5 hips; Ⅲ period,8 hips; Ⅳ period, 12 hips.Results Among 25 hips, their Harris Hip Score at all satges were improved during the follow up. The symptom of pain diminished or disappeared after operation. The patient’s ability to work and live was not limited or only slightly limited during the follow up. Radiographic evaluation showed that most femoral heads improved (18 hips) or unchanged (6 hips) and only one worsened. Conclusion The free vascularized fibular grafting is a valuable method for femoral head necrosis. With this method, we can prevent or delay the process of the disease.更多还原