Schwetlick G, Klingmüller V
Orthopädische Universitätsklinik Giessen.
Z Orthop Ihre Grenzgeb. 1987 Jul-Aug;125(4):382-9. doi: 10.1055/s-2008-1044928.
This is a report of special operative therapy of idiopathic necrosis of the femoral head. This is based on the idea, that the necrosis of the femoral head is caused by an occlusion of the arteries of the femoral head, especially the arteria circumflexa femoris medialis. The necrotic area of the femoral head is filled up with a pedicle bone graft, which is apart from the spina iliaca and supplied from the art, circumflexa ilium profunda. From a total of 28 superselective angiographies of the arteria circumflexa femoris medialis, which where conducted preoperatively, a pathological finding was shown in 21 cases. Furthermore it is possible, to determine different courses of the art. circumflexa ilium profunda. A superselective angiography of the reset art. circumflexa ilium profunda was conducted in seven patients following the bone graft operation. These findings will be discussed. The angiographies were processed by electronic subtraction to better illustrate the state of the smallest vessels.
这是一份关于特发性股骨头坏死的特殊手术治疗报告。其基于这样一种观点，即股骨头坏死是由股骨头动脉阻塞引起的，尤其是旋股内侧动脉。股骨头的坏死区域用带蒂骨移植填充，该带蒂骨取自髂棘，由旋髂深动脉供血。术前共对21例旋股内侧动脉进行了28次超选择性血管造影，其中21例显示有病理改变。此外，还能够确定旋髂深动脉的不同走行。7例患者在骨移植手术后对复位的旋髂深动脉进行了超选择性血管造影。将对这些结果进行讨论。血管造影采用电子减法处理，以更好地显示最小血管的状态。
