Beris Alexandros E, Lykissas Marios G, Payatakes Alexandros, Kontogeorgakos Vasileios A, Mavrodontidis Alexandros, Korompilias Anastasios V
Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, Ioannina, Greece.
Microsurgery. 2009;29(3):240-3. doi: 10.1002/micr.20598.
We present a case of a 34-year-old white female patient who, 13 years ago, sustained a pathological intracapsular femoral neck fracture on a pre-existing aneurysmal bone cyst. Three months later radiographic and magnetic resonance imaging evaluation revealed both femoral neck fracture and stage IV osteonecrosis of the femoral head according to Steinberg classification system. Management was accomplished with combined free vascularized fibular grafting and internal osteosynthesis with a 130 degrees blade plate. Union was achieved in 7 months. Progression of osteonecrosis was arrested. Hip salvage and a satisfactory subjective and clinical outcome were achieved. At the last follow-up, 13 years postoperatively, the patient had satisfactory functional outcome.
我们报告一例34岁白人女性患者，13年前，其因先前存在的动脉瘤样骨囊肿发生病理性囊内股骨颈骨折。三个月后，根据斯坦伯格分类系统，X线和磁共振成像评估显示股骨颈骨折以及股骨头IV期骨坏死。治疗采用游离带血管腓骨移植联合130度角钢板内固定术。7个月后实现骨愈合。骨坏死进展得到控制。成功挽救了髋关节，获得了满意的主观和临床结果。术后13年的最后一次随访时，患者功能结果令人满意。
