Hip Joint Reconstruction Using Pedicle Epiphysisfor Autogenous Transplantation in Perthes’Disease (An Experimental and Clinical Study)  

作　　者：吴苏稼 王雅芹 马承宣 许瑞江 

出　　处：《The Journal of Biomedical Research》1998年第2期59-63,共5页生物医学研究杂志（英文版）

摘　　要：24 immature dogs as models developedfor transplanting autogenons iliac crest apophyseal graft into defect in epiphysis of the femoral head. In group I the graft was pedicled with deep circumflex iliac vessels. In group Ⅱthe same technique was used without pedicle. All the animals were followed for one to six months. The specimens were studied by macroscopic, histological and electronmicroscopical examinations. The results revealed that the pedicle grafts suvived with good remodeling in the joint with defect. The ossification of the iliac crest apophysis seemed to be normal. The most superficial of the graft was similar to the cartilage of the femoral head. Acetabuloplasty utilizing pedicle crest epiphysis transplatation was carried out in 20 patients whose ages ranged from 6 to 12 years old with Perthes' disease with poor relation between femoral head and acetabulum. All patients had been followed for 8 to 48 months. Almost all cases had satisfactory results showing radiographic evidence of best joint congruency. No hip joint space narrowing was found. The result enables the authors to propose a new surgical technique in the treatment of certain difficult dysplastic condition in the hip joint of the children.24 immature dogs as models developedfor transplanting autogenons iliac crest apophyseal graft into defect in epiphysis of the femoral head. In group I the graft was pedicled with deep circumflex iliac vessels. In group Ⅱthe same technique was used without pedicle. All the animals were followed for one to six months. The specimens were studied by macroscopic, histological and electronmicroscopical examinations. The results revealed that the pedicle grafts suvived with good remodeling in the joint with defect. The ossification of the iliac crest apophysis seemed to be normal. The most superficial of the graft was similar to the cartilage of the femoral head. Acetabuloplasty utilizing pedicle crest epiphysis transplatation was carried out in 20 patients whose ages ranged from 6 to 12 years old with Perthes' disease with poor relation between femoral head and acetabulum. All patients had been followed for 8 to 48 months. Almost all cases had satisfactory results showing radiographic evidence of best joint congruency. No hip joint space narrowing was found. The result enables the authors to propose a new surgical technique in the treatment of certain difficult dysplastic condition in the hip joint of the children.

关 键 词：acetabuloplasty epiphyseal transplantation Perthes' disease 

分 类 号：R617[医药卫生—外科学]