Zhang Gong-lin, Zhang Ming
The Hospital of Orthopaedics and Traumatology of Taizhou, Wenling 317500, Zhejian, China.
Zhongguo Gu Shang. 2009 Jan;22(1):76-8.
This article reviews the history and development of as well as the results using a fibular graft by vascular anastomosis for the treatment of avascular osteonecrosis of the femoral head. Vascular anastomosed fibular grafting has been reported to be successful for patients with early stages and precollapse osteonecrosis of the femoral head. The method can be used to preserve the hip joint function. Vascular anastomosed fibular grafting can be the transfer of vascularized bone grafts into the necrotic portions of the femoral head. Such a procedure, in addition to replacing necrotic bone with healthy bone, also establishes a new source of circulating blood of the femoral head. Free avascularized bone grafting for the treatment of avascular osteonecrosis of the femoral head may lead to higher rates of successful treatment and superior to those of core decompression and nonoperative treatment.
本文回顾了采用吻合血管的腓骨移植治疗股骨头缺血性坏死的历史、发展及治疗结果。据报道，吻合血管的腓骨移植术对于早期及塌陷前期股骨头缺血性坏死患者是成功的。该方法可用于保留髋关节功能。吻合血管的腓骨移植术是将带血管的骨移植转移至股骨头坏死部位。这样的手术，除了用健康骨替代坏死骨外，还建立了股骨头新的血液循环来源。游离非血管化骨移植治疗股骨头缺血性坏死可能导致更高的成功率，且优于髓芯减压术和非手术治疗。
