Millikan Patrick D, Karas Vasili, Wellman Samuel S
Department of Orthopaedic Surgery, Duke University Medical Center, Duke University, 40 Duke Medicine Circle, Room 5309 (Orange), Box 3000, Durham, NC, 27710, USA,
Curr Rev Musculoskelet Med. 2015 Sep;8(3):252-9. doi: 10.1007/s12178-015-9285-8.
Osteonecrosis of the femoral head (ONFH) is a challenging diagnosis for the patient and treating surgeon. Though its cause is poorly understood, several methods of surgical treatment exist and are performed with variable success. Vascularized bone grafting is one such treatment that attempts to restore viable bone, structural support, and blood supply to the avascular portion of the femoral head. This review summarizes the various approaches to this technique that have been proposed and put into practice. The cost effectiveness of these procedures, both in time and resources, has been evaluated and found to be favorable. The use of revascularization procedures, along with the introduction of other potentiating factors, may signal an exciting future for this debilitating disease process.
股骨头坏死（ONFH）对患者和主治外科医生而言都是具有挑战性的诊断。尽管其病因尚不清楚，但存在几种外科治疗方法，且实施后的效果各不相同。带血管骨移植就是其中一种治疗方法，旨在恢复股骨头缺血部分的活性骨、结构支撑和血液供应。本综述总结了已提出并付诸实践的该技术的各种方法。已对这些手术在时间和资源方面的成本效益进行了评估，结果显示良好。血管重建手术的应用，以及其他增强因素的引入，可能预示着这种使人衰弱的疾病进程将迎来令人振奋的未来。
