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股骨颈骨不连与股骨头缺血性坏死:骨移植治疗

Nonunion of the femoral neck and avascular necrosis of the femoral head: treatment with bone grafts.

作者信息

Gaertner R L, Deyerle W M

出版信息

South Med J. 1977 Sep;70(9):1039-44. doi: 10.1097/00007611-197709000-00008.

DOI:10.1097/00007611-197709000-00008
PMID:331483
Abstract

The use of full-thickness iliac bone grafts shaped into cigar and cigarette forms in the treatment of nonunion of the femoral neck and idiopathic avascular necrosis of the femoral head was studied. Results of 36 operations (18 hips in each category) were classified according to pain, range of motion, function, and roentgenographic appearance. Follow-up with a two-year minimum revealed that bone grafting contributed to a successful result in the nonunion group with 17 hips uniting. Thirteen hips with avascular necrosis, however, showed progression of disease and were classified as failures. In light of these results, bone grafting in the treatment of idiopathic avascular necrosis must be questioned.

摘要

研究了将全厚髂骨移植塑形为雪茄状和香烟状用于治疗股骨颈骨不连和特发性股骨头缺血性坏死的情况。根据疼痛、活动范围、功能和X线表现对36例手术结果(每组18髋)进行分类。至少两年的随访显示,骨移植对骨不连组的成功结果有帮助,17髋实现了骨愈合。然而,13例缺血性坏死的髋部病情进展,被归类为治疗失败。鉴于这些结果,对特发性缺血性坏死的骨移植治疗必须提出质疑。

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引用本文的文献

1
The application of closed reduction internal fixation and iliac bone block grafting in the treatment of acute displaced femoral neck fractures.闭合复位内固定联合髂骨块移植在急性移位型股骨颈骨折治疗中的应用
PLoS One. 2013 Sep 10;8(9):e75479. doi: 10.1371/journal.pone.0075479. eCollection 2013.