Dailiana Zoe H, Toth Alison P, Gunneson Eunice, Berend Keith R, Urbaniak James R
Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA.
J Arthroplasty. 2007 Aug;22(5):679-88. doi: 10.1016/j.arth.2006.12.042.
The results of treatment of femoral head osteonecrosis with free vascularized fibular grafting (FVFG) following failed core decompression (core decompression-FVFG [CD-FVFG] group: 32 hips) were reviewed and compared with those of a control group that underwent FVFG only (54 hips). Outcome was considered unsuccessful if total hip arthroplasty was subsequently performed. Total hip arthroplasty was performed in 15 and 20 hips of the CD-FVFG and control groups, respectively. When considering age, sex, and presence of bilateral disease, patients with previous core decompression did not have a significantly different failure rate from patients with FVFG only. However, patients with preoperative stage V osteonecrosis or corticosteroid use had worse outcomes after vascularized fibular grafting if they had a previous core decompression of the femoral head.
对经髓芯减压失败后采用游离带血管腓骨移植术（FVFG）治疗股骨头坏死的结果进行了回顾（髓芯减压 - FVFG[CD - FVFG]组：32髋），并与仅接受FVFG的对照组（54髋）进行了比较。如果随后进行了全髋关节置换术，则认为治疗结果不成功。CD - FVFG组和对照组分别有15髋和20髋进行了全髋关节置换术。在考虑年龄、性别和双侧疾病的存在时，既往接受过髓芯减压的患者与仅接受FVFG的患者的失败率没有显著差异。然而，如果既往有股骨头髓芯减压史，术前处于V期骨坏死或使用过皮质类固醇的患者在带血管腓骨移植术后的结果更差。
