多孔重建钽棒内固定治疗早期股骨头坏死疗效观察与分析  

Clinical observations and analysis of early-stage femoral head osteonecrosis with tantalum rod

作　　者：佟刚[1] 赵鉴非[1] 戴军[1] 卢猛[1] 

机构地区：[1]首都医科大学附属北京同仁医院骨科,北京市100730

出　　处：《中国骨与关节损伤杂志》2012年第10期882-884,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨多孔金属钽棒在早期股骨头坏死治疗中的应用,评价其临床效果,分析失败病例。方法对17例(23髋)早期股骨头坏死(SteinbergⅠ、Ⅱ期)采用髓芯减压联合多孔重建钽棒内固定治疗,以髋关节Harris评分及影像学进行临床疗效评估。结果本组均获9～39个月随访,平均22个月。切口均一期愈合;3例(4髋)在术后随访期内股骨头坏死进展发生塌陷,其中2例(3髋)行全髋关节置换手术,1例行非手术治疗;末次随访Harris评分优良率78.3%。结论股骨头坏死髓芯减压联合重建钽棒内固定术对早期股骨头坏死(SteinbergⅠ、Ⅱ期)的治疗效果是比较满意的,但对疼痛明显的患者应慎用。Objective To explore the clinical outcome and analyze the failed cases of early-stage femoral head osteonecmsis with tantalum rod. Methods Seventeen early-stage femoral head ostconecrosis patients （23 hips） （Steinberg I and II） were treated with＇ ta^itah^m~od, evaluation indudod Harris score and radiography. Results The mean duration of follow up was 22 months （9-39 months）, no lost. The operative incision healing was smooth in all patients. There was collapse in 3 cases （4 hips）. During the follow-up period, 2 eases （3 hips） were treated with total hip arthroplasty and 1 case with non-surgical treatment. The overall excellent and good rate was 78.3% of the postoperative Harris score. Conclusion Tantalum rod provides satisfactory results in treating early-stage femoral head osteonecrosis （Steinberg I and ]I ）,but it should be carefully selected with severe painful cases.

关 键 词：股骨头坏死 早期 钽棒 内固定 

分 类 号：R274.918[医药卫生—中西医结合]