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经股骨头开瓣植骨术治疗股骨头缺血性坏死
Hits: 1979   Download times: 1127   Received:March 14, 2001  Revised:August 15, 2001  
作者Author单位UnitE-Mail
曾述强 ZENG Shu-qiang 兰州军区总医院,甘肃 兰州 730050 The Military general Hospital of Lanzhou Gansu Lanzhou, 730050, China  
张功林 ZHANG Gong-lin 兰州军区总医院,甘肃 兰州 730050 The Military general Hospital of Lanzhou Gansu Lanzhou, 730050, China  
葛宝丰 GE Bao-feng 兰州军区总医院,甘肃 兰州 730050 The Military general Hospital of Lanzhou Gansu Lanzhou, 730050, China  
期刊信息:《中国骨伤》2002年15卷,第12期,第710-711页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:观察和分析经股骨头开瓣植骨术治疗股骨头缺血性坏死的疗效。

方法:对8例成人非创伤性股骨头坏死进行Ficat分期Ⅱ~Ⅲ,其中Ⅱa期2例,Ⅱb期4例,Ⅲ期2例,均采用经股骨头负重区开瓣死骨清除,取髂骨植骨术进行治疗。

结果: 平均随访32个月,根据Harris 临床评分,Ⅱb期以前6例效果优良。

结论:经股骨头开瓣植骨术对于Ficat分期Ⅱb期以前软骨面较完好的病人效果优良。
[关键词]:股骨头坏死  骨移植  外科手术
 
The trapdoor procedure using antogenous cancellous bone grafts for the treatment osteonecrosis of the femoral head.
Abstract:

Objective:To observe curative effect of the osteonecrosis of the femoral head with antoge-nous cancellous bone grafts

Methods:8 cases of nontraumtic femoral head necrosis were staged according to Ficat standard,in which 2 cases had Ⅱa stage,4 cases had Ⅱb stage,2 cases had Ⅲ stage. All the cases were treated with antogenous cancellous bone grafts.

Results:The mean period of follow-up was 32 months. According to Harris’ clinical score, the effect of previou Ⅱb stage was excellent.

Conclusion:It is concluded that the indication of trapdoor procedure were Ficat stage Ⅰ- Ⅱb disease with a fair cartilage coverage.
KEYWORDS:femur head necrosis  Bone transplantation  Surgery,operative
 
引用本文,请按以下格式著录参考文献:
中文格式:曾述强,张功林,葛宝丰.经股骨头开瓣植骨术治疗股骨头缺血性坏死[J].中国骨伤,2002,15(12):710~711
英文格式:ZENG Shu-qiang,ZHANG Gong-lin,GE Bao-feng.The trapdoor procedure using antogenous cancellous bone grafts for the treatment osteonecrosis of the femoral head.[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(12):710~711
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