[游离血管化腓骨移植治疗陈旧性股骨颈骨折及骨不连]
[Treatment of old femoral neck and nonunion with free vascularized fibular grafting].
作者信息
Zhang Chang-Qing, Xu Jun, Sheng Jia-Gen, Zhang Kai-Gang, Li Hong-Shuai, Zeng Bing-Fang
机构信息
Department of Orthopaedics, the Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2008 Jan 1;46(1):38-40.
OBJECTIVE
To evaluate the clinical result of the treatment of old femoral neck fracture and nonunion with free vascularized fibular grafting.
METHODS
From November 2000 to December 2005, 29 cases with old femoral neck fracture and nonunion had been treated by free vascularized fibular grafting with an average follow-up of 28.5 months.
RESULTS
All the fracture were healed without any severe complications. And the healing time was 4-6 months (5.6 months on average). During the follow-up, the hips of 28 cases got well-function, and the average Harris hip score was 88.2. One case came about with osteonecrosis of femoral head after one year and finally accepted THA after 2 years.
CONCLUSIONS
The free vascularized fibular grafting is a valuable procedure to treat old femoral neck fracture and nonunion.
目的
评估游离带血管腓骨移植治疗陈旧性股骨颈骨折及骨不连的临床效果。
方法
2000年11月至2005年12月，采用游离带血管腓骨移植治疗29例陈旧性股骨颈骨折及骨不连患者，平均随访28.5个月。
结果
所有骨折均愈合，无严重并发症。愈合时间为4 - 6个月（平均5.6个月）。随访期间，28例患者髋关节功能良好，平均Harris髋关节评分为88.2分。1例患者术后1年出现股骨头坏死，2年后最终接受全髋关节置换术。
结论
游离带血管腓骨移植是治疗陈旧性股骨颈骨折及骨不连的一种有效方法。
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