Hussmann B, Taeger G, Hierner R, Nast-Kolb D, Lendemans S
Klinik für Unfallchirurgie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland.
Unfallchirurg. 2011 Nov;114(11):1018-23. doi: 10.1007/s00113-011-1993-y.
The free microvascular fibula diaphysis transplant as femoral neck replacement with preservation of the patient's own femoral head due to a severe infection situation represents a rare indication in the treatment of young patients. In the current literature, such surgical methods do not exist. In the case described here, the free microvascular fibula transplant serves as femoral neck replacement with preservation of the patient's own femoral head without any postoperative mobility restrictions. The depicted course of the disease not only shows the effectiveness of this form of treatment in aseptic femoral head necrosis, but also represents a possible treatment in severe infection situations after trauma.
由于严重感染情况，采用游离微血管腓骨干移植作为股骨颈置换术并保留患者自身股骨头，这在年轻患者的治疗中是一种罕见的适应症。在当前文献中，不存在这样的手术方法。在此所述的病例中，游离微血管腓骨移植作为股骨颈置换术，保留了患者自身的股骨头，且术后没有任何活动限制。所描述的病程不仅显示了这种治疗方式在无菌性股骨头坏死中的有效性，也代表了创伤后严重感染情况下的一种可能治疗方法。
