旋髂深血管蒂骨瓣移植预防先髋术后股骨头坏死  

Clinical Study of Prevention DDH Postoperation Femoral Head Necrosis with Rotation Iliac Deep Blood Vessel Stalk Osteopastic Flap Transplantation

作　　者：刘瑾[1] 刘新成[1] 谈敬忠 

机构地区：[1]甘肃省天水市第一人民医院骨科,甘肃天水741000

出　　处：《实用骨科杂志》2008年第6期339-341,共3页Journal of Practical Orthopaedics

摘　　要：目的探索发育性髋关节脱位术后股骨头坏死的预防措施。方法对20例发育性髋关节脱位分为A、B两组，A组常规切开复位加带旋髂深血管蒂骨瓣移植，B组单行常规切开复位。结果A组病例获1～6g随访，平均3．5年，股骨头坏死2例，Ficat分期I期，A组髋关节功能评定：优6例，良2例，差2例。B组病例获4～14年随访，平均7．8年，股骨头无菌坏死5例，Ficat分期：ⅡA期1例、ⅡB期2例、Ⅲ期2例，B组髋关节功能评定：优4例，良1例，差5例。结论带旋髂深血管蒂骨瓣移植能有效预防发育性髋关节脱位术后股骨头坏死，改善关节功能。Objective Probe the preventive measure of DDH postoperation femoral head necrosis. Methods 20 cases of growth dislocation of hip joint were separated to A and B group. A group routine open reduction with rotation iliac deep blood vessel stalk osteopastic flap transplantation,B group only routine open reduction. Results A group cases were followed up 1-6 years,average 3-5 years, 2 cases were femoral head necrosis,Ficat I stage,hip joint function assess：good 6 cases,well 2 cases,bad 2 cases. B group cases were followed up 4-14 years,average 7-8 years,femoral head sterile necrosis 5 cases,Ficat Ⅱ A stage 1 case, ⅡB stage 2 cases, Ⅲ stage 2 cases,hip joint function assess ：good 4 cases ,well 1 case,bad 5 cases. Conclusion Reduction with rotation iliac deep blood vessel stalk osteopastic flap transplantation can effectively prevent DDH postoperation femoral head necrosis,improve joint function.

关 键 词：发育性 髋关节脱位 带血管蒂 移植 

分 类 号：R681.8[医药卫生—骨科学]