腓骨固定术在早期治疗股骨头坏死中的疗效及其对局部微循环、关节面塌陷、关节疼痛和功能的影响。
Efficacy of fibula fixation in the early treatment of Osteonecrosis of the femoral head and its effects on local microcirculation, articular surface collapse, joint pain and function.
作者信息
Hu Baijun, Gao Dawei, He Yihe
机构信息
Department III of Orthopaedics, Zhongshan Hospital of Traditional Chinese Medicine.
出版信息
J Musculoskelet Neuronal Interact. 2018 Mar 1;18(1):55-61.
Abstract
OBJECTIVES
The aim of this study is to investigate the efficacy of fibula fixation in the early treatment of osteonecrosis of the femoral head (ONFH).
METHODS
130 patients with ONFH were selected and randomly divided into control group and observation group. Patients in the control group received core decompression treatment, while patients in the observation group received fibula fixation. The local microcirculation was observed by dynamic contrast-enhanced MRI, necrotic volume was measured using MRI, articular surface collapse by using X-ray, McGill pain questionnaire was used to understand and compared the joint pain condition.
RESULTS
Τhe total effective rate of the observation group was significantly higher than that of the control group (p⟨0.05). Necrosis volume of observation group was significantly smaller than that of control group (p⟨0.05). Degree of joint pain was significantly lower in observation group than in control (p⟨0.05). Harris scores were higher in observation group than in control group (p⟨0.05). All life scores of observation were significantly higher than those of control group (p⟨0.05).
CONCLUSION
fibula fixation seems to be not superior to core decompression n preventing articular surface collapse, but it can effectively relieve the joint pain in patients with early ONFH.
摘要
目的
本研究旨在探讨腓骨固定术在早期治疗股骨头坏死（ONFH）中的疗效。
方法
选取130例ONFH患者，随机分为对照组和观察组。对照组患者接受髓芯减压治疗，而观察组患者接受腓骨固定术。通过动态对比增强磁共振成像观察局部微循环，使用磁共振成像测量坏死体积，使用X射线观察关节面塌陷情况，采用麦吉尔疼痛问卷了解并比较关节疼痛状况。
结果
观察组的总有效率显著高于对照组（p＜0.05）。观察组的坏死体积显著小于对照组（p＜0.05）。观察组的关节疼痛程度显著低于对照组（p＜0.05）。观察组的Harris评分高于对照组（p＜0.05）。观察组的所有生活评分均显著高于对照组（p＜0.05）。
结论
在预防关节面塌陷方面，腓骨固定术似乎并不优于髓芯减压术，但它可以有效缓解早期ONFH患者的关节疼痛。
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