经转子髓芯减压植骨治疗股骨头缺血坏死  

Treatment of avascular necrosis of femoral head by core decompression and bone graft through trochanter

作　　者：尹峰[1] 胡永兴[1] 印心奇[1] 徐根宝[1] 顾小华 

机构地区：[1]上海市东方医院骨科,上海200120

出　　处：《临床骨科杂志》1999年第3期219-220,共2页Journal of Clinical Orthopaedics

摘　　要：目的　总结经转子髓芯减压植骨术治疗股骨头缺血性坏死的效果。方法　53 例股骨头缺血性坏死患者行经转子髓芯减压植骨术,其中Ficat 分期Ⅱ期21 例,Ⅲ期25 例,Ⅳ期7 例。结果　平均随访4-5 年,髋关节功能优良率75-5 % 。结论　经转子髓芯减压植骨术可有效治疗股骨头缺血性坏死,具有手术简单、不破坏股骨头残余血供、不妨碍日后行人工关节置换术等优点。Objective To observe the therapeutic effect on the treatment of femoral head avascular necrosis by core decompression and bone graft through trochanter. Methods 53 cases of the disease were treated with core decompression and bone graft through trochanter. There were 21 cases of phase Ⅱ,25 cases of phase Ⅲ and 7 cases of phase Ⅳ based on Ficat classification. Results The patients were followed up from 2 to 11 years, with an average of 4 5 years. The excellent and good rate of hip joint function was 75 5%. Conclusion The method is simple and effective, and it does not show any injury of the residual blood supply of femoral head and influence of total hip replacement afterwards.

关 键 词：股骨头坏死 减压术 骨移植 

分 类 号：R681.805[医药卫生—骨科学]