Schwetlick G, Weber U, Klingmüller V, Sparmann M
Oskar-Helene-Heim, Orthopädische Klinik und Poliklinik, Freie Universität Berlin.
Unfallchirurgie. 1990 Apr;16(2):75-9. doi: 10.1007/BF02588020.
The development and introduction of microsurgical technique has made possible completely new concept of revascularisation surgery in femoral head necrosis. The bone graft described in this presentation is a pedicled one from the lateral ilium. In five femoral head necrosis a pedicled corticocancellous pelvic graft, supplied by the deep branch of the superior gluteal artery, was transplanted in the femoral head. In all cases it was possible to lift out the pelvic graft from the same side as the affected hip joint. Contrary to the medial iliac bone graft (deep circumflex iliac artery) the lateral iliac bone graft (deep branch of the superior gluteal artery) is inserted into the femoral head dorsally. Preoperatively and postoperatively performed selective angiographies are necessary and presented. In all cases an unimpeded perfusion could be shown three months postoperatively. Advantages and indications of the pedicled bone graft are discussed.
显微外科技术的发展与引入使股骨头坏死血管重建手术有了全新的概念。本报告中描述的骨移植是取自髂骨外侧的带蒂骨移植。在5例股骨头坏死病例中，将由臀上动脉深支供血的带蒂皮质松质骨盆腔移植骨植入股骨头。在所有病例中，都能够从患侧髋关节的同一侧取出盆腔移植骨。与髂骨内侧骨移植（旋髂深动脉）不同，髂骨外侧骨移植（臀上动脉深支）是从背侧插入股骨头。术前和术后均进行了选择性血管造影并予以展示。所有病例术后3个月均显示灌注通畅。文中讨论了带蒂骨移植的优点和适应证。
