Wang Bin, Li Kanghua, Liao Qiande, Deng Zhansheng, Zhang Hongqi, Wang Xiyang, He Hongbo
Department of Orthopaedics, Xiangya Hospital, South Central University, Changsha Hunan, 410008, P. R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2005 Jun;19(6):443-5.
To investigate the treatment method of ischemic necrosis of the femoral head by the transplantation of pedicled bone flap with deep iliac circumflex vessel in adult and to assess its curative effect.
From February 1996 to September 2003, 46 adult patients with ischemic necrosis of the femoral head (58 coxas) were treated by transplantation of pedicled bone flap with deep iliac circumflex vessel. The locations were the left side in 34 coxas and the right side in 24 coxas(stage II in 16 coxas, stage III in 39 coxas and stage IV in 3 coxas).
Thirty-seven patients (40 coxas) were followed up 6 months to 10 years after operation. According to the assess of FanQishen, the result was excellent in 19 cases (21 coxas), good in 11 cases (12 coxas), fair in 5 cases (5 coxas) and poor in 2 cases (2 coxas). The postoperative excellent and good rate was 81%.
Operative treatment of ischemic necrosis of the femoral head in adult by transplantation of bone flap pedicled with deep iliac circumflex vessel has the characteristics of restoration of blood supply of the femoral head, decompression of marrow cavity, elimination of necrotic bone and support of the femoral head. It is an effective and advanced method for treatment of ischemic necrosis of the femoral head in adult.
探讨带旋髂深血管蒂骨瓣移植治疗成人股骨头缺血性坏死的方法并评估其疗效。
1996年2月至2003年9月，采用带旋髂深血管蒂骨瓣移植治疗46例成人股骨头缺血性坏死患者（58髋）。部位：左侧34髋，右侧24髋（Ⅱ期16髋，Ⅲ期39髋，Ⅳ期3髋）。
37例患者（40髋）术后随访6个月至10年。根据范启申评定，结果为优19例（21髋），良11例（12髋），可5例（5髋），差2例（2髋）。术后优良率为81%。
带旋髂深血管蒂骨瓣移植手术治疗成人股骨头缺血性坏死具有恢复股骨头血供、髓腔减压、清除坏死骨及支撑股骨头的特点。是治疗成人股骨头缺血性坏死的一种有效、先进的方法。
