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旋髂深血管骨瓣和旋股外血管束联合移植治疗股骨颈骨折
Hits: 1950   Download times: 1390   Received:May 11, 1998  Revised:February 10, 1999  
作者Author单位UnitE-Mail
朱少廷 ZHU Shao ting 广西中医学院第一附属医院,广西南宁530023 The First Affiliated Hospital of Guangxi TCM College Guangxi Nanning,530023  
廖小波 LIAO Xiao bo 广西中医学院第一附属医院,广西南宁530023 The First Affiliated Hospital of Guangxi TCM College Guangxi Nanning,530023  
黄海滨 HUANG Hai bin 广西中医学院第一附属医院,广西南宁530023 The First Affiliated Hospital of Guangxi TCM College Guangxi Nanning,530023  
周滨滨 广西中医学院第一附属医院,广西南宁530023 The First Affiliated Hospital of Guangxi TCM College Guangxi Nanning,530023  
米琨 广西中医学院第一附属医院,广西南宁530023 The First Affiliated Hospital of Guangxi TCM College Guangxi Nanning,530023  
期刊信息:《中国骨伤》2000年13卷,第4期,第195-197页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨用带血管骨瓣加血管束移植到股骨头颈内治疗股骨颈骨折,以提高骨折的愈合率,降低股骨头的坏死率。

方法:骨折复位固定后,用旋髂深血管骨瓣移植到骨折处,再用旋股外血管束移植到股骨头内治疗30例,并与股方肌骨瓣治疗的30例作对照。

结果:股骨头坏死率从20%下降到10%,功能优良率从80%提高到90%,骨折全部愈合,愈合时间缩短1/4.

结论:旋髂深血管骨瓣加旋股外血管束联合移植治疗股骨颈骨折,可改善骨折处和股骨头血运,提高骨折愈合率和降低股骨头的坏死率。
[关键词]:移植  自体  骨移植  股骨颈骨折
 
The Treatment of Femoral Neck Fractures by Transplanting Bone Flap with Deep Circumflex Iliac Vessel and Lateral Circumflex Femoral Vessel bundle
Abstract:

Objective:To study the treatment of femoral neck fracture by transplanting bone flap with blood vessel and vessel bundle into the neck of femoral head,in order to increase the healing rate of the fracture and to decrease the rate of femur head necrosis

Methods:After reduction and internal fixation,bone flap with circumflex iliac vessel was transplanted to the place of fracture,and then lateral circumflex feimoral vascular bundle was implanted into the femoral head 30 cases were selected for this treatment and other 30 cases were selected as a control treated with sartorius muscle bone flap

Results:The necrotic rate of the femoral head dropped from 20% to 10% and functional improvement rate increased from 80% to 90% The fracture healing time shortened by 1/4

Conclusion s:This treatment improves circulation of fracture and femoral head,increases the healing rate of fracture and decreases the rate of remoral head necrosis
KEYWORDS:Transplantation autologous  Bone transplantation  Femoral neck fractures
 
引用本文,请按以下格式著录参考文献:
中文格式:朱少廷,廖小波,黄海滨,周滨滨,米琨.旋髂深血管骨瓣和旋股外血管束联合移植治疗股骨颈骨折[J].中国骨伤,2000,13(4):195~197
英文格式:ZHU Shao ting,LIAO Xiao bo,HUANG Hai bin.The Treatment of Femoral Neck Fractures by Transplanting Bone Flap with Deep Circumflex Iliac Vessel and Lateral Circumflex Femoral Vessel bundle[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(4):195~197
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