Schwetlick G, Rettig H, Klingmüller V
Oskar-Helene-Heim, Orthopädische Klinik und Poliklinik, Freien Universität Berlin.
Z Orthop Ihre Grenzgeb. 1988 Sep-Oct;126(5):500-7. doi: 10.1055/s-2008-1044474.
23 hip joints with hip head necrosis in 22 patients were provided with a pedicle bone-graft perfused by the art. circumflexa ilium profunda. I two cases it was necessary to remove the bone-graft contralaterally because bone had already been removed from the side with the necrosis at an earlier date. In these cases the arterio-venous bundle of vessels of the autologous heterotope transplant was connected through microanastomosis with the arteria and vena circumflexa femoris lateralis. In addition to the usual clinical follow-up the method of superselective angiography was also applied to make possible direct perfusion control of the implanted bone-graft in the operated patients. In 18 of the 23 pedicle autologous heterotope transplants unimpeded perfusion could be shown. By introducing regional stress angiography in 7 cases it became possible to make further well-founded statements about the physiotherapeutical follow-up treatment. Electronic subtraction provides a more accurate assessment of even the minutest arteries possible.
22例患者的23个髋关节发生股骨头坏死，采用旋髂深动脉灌注带蒂骨移植治疗。有2例因早期已从坏死侧取骨，故需对侧取骨。在这些病例中，自体异位移植血管的动静脉束通过显微吻合与旋股外侧动静脉相连。除常规临床随访外，还应用超选择性血管造影方法，以便对手术患者植入的骨移植进行直接灌注控制。23例带蒂自体异位移植中，18例显示灌注通畅。通过对7例患者进行区域应力血管造影，能够对物理治疗的后续治疗做出更有根据的说明。电子减影即使对最细小的动脉也能提供更准确的评估。
