Yu Xiao-guang, Zhao De-wei, Sun Qiang, Wang Tie-nan, Yu Hai-bo, Su Yun, Liu Ji-bin, Zheng Jia-fa, Wang Ben-jie, Cui Da-ping
Department of Orthopedics, Affiliated Zhongshan Hospital of Dalian University, Dalian, China.
Zhonghua Yi Xue Za Zhi. 2010 Apr 20;90(15):1035-8.
To evaluate the outcome of cancellous bone grafting plus iliac cancellous bone in the treatment of non-traumatic avascular talar necrosis.
Twenty patients, 14 males and six females, eight at stage II, ten at stage III and three at stage IV according to the modified Ficat & Arlet necrosis classification system, were treated with vascularized bone flap from January 2000 to June 2005.
All patients were followed up for a mean of 37 months (range: 14 to 68 months). The clinical function outcome evaluated by Kenwright criteria were excellent in 8 cases, good in 10 cases, fair in 1 case and poor in 1 case. Clinical symptom was completely or partially relieved. The necrotic area was filled with newly formed bone and the excellent-to-good rate was 90%.
Transposition of vascularized cuneiform bone flap plus iliac cancellous bone grafting may be an ideal therapeutic method for non-traumatic avascular talar necrosis. And the clinical outcome is satisfactory.
评估松质骨移植联合髂骨松质骨治疗非创伤性距骨缺血性坏死的疗效。
2000年1月至2005年6月，应用带血管蒂骨瓣治疗20例非创伤性距骨缺血性坏死患者，其中男14例，女6例。根据改良的菲卡特和阿莱特坏死分类系统，Ⅱ期8例，Ⅲ期10例，Ⅳ期3例。
所有患者平均随访37个月（范围：14至68个月）。根据肯赖特标准评估临床功能结果，优8例，良10例，可1例，差1例。临床症状完全或部分缓解。坏死区域被新形成的骨组织填充，优良率为90%。
带血管蒂楔骨瓣移位联合髂骨松质骨移植可能是治疗非创伤性距骨缺血性坏死的理想方法，临床疗效满意。
