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采用直接前路行股骨头镶嵌成形术治疗骨软骨撞击症，无需进行手术性髋关节脱位。

Femoral head mosaicplasty by direct anterior approach for an osteochondral impaction without performing surgical hip dislocation.

作者信息

Coulomb Remy, Alrubaie Abdullah, Haignière Vincent, Kouyoumdjian Pascal

机构信息

Department of Orthopedic and Traumatology Surgery, CHU Nîmes, University Montpellier 1, 34000 Nîmes, France.

Department of Orthopedic and Traumatology Surgery, CHU Nîmes, University Montpellier 1, 34000 Nîmes, France - Université Montpellier 1, 2 Rue de l'École de Médecine, 34090 Montpellier, France.

出版信息

SICOT J. 2021;7:22. doi: 10.1051/sicotj/2021014. Epub 2021 Mar 26.

DOI:10.1051/sicotj/2021014
PMID:33812469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8019562/
Abstract

Several surgical methods exist for the treatment of osteochondral lesions of the femoral head. They include osteochondral allograft transfer, femoral osteotomy, microfracture, autologous chondrocyte implantation, and hip arthroplasty. Mosaicplasty is a surgical method in which cylindrical plugs of bone and cartilage are transferred from a donor site to tunnels drilled into the bone and cartilage defects. This paper discusses the use of mosaicplasty by a direct anterior approach without dislocation in the treatment of an acute femoral head osteochondral impaction in a young patient.

摘要

目前存在多种治疗股骨头骨软骨损伤的手术方法。它们包括异体骨软骨移植、股骨截骨术、微骨折术、自体软骨细胞植入术和髋关节置换术。镶嵌成形术是一种手术方法，即从供体部位获取圆柱形骨和软骨栓，并将其转移至钻入骨和软骨缺损处的隧道中。本文讨论了采用不脱位的直接前路镶嵌成形术治疗一名年轻患者的急性股骨头骨软骨撞击伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb1/8019562/274906a60764/sicotj-7-22-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb1/8019562/e24058af7759/sicotj-7-22-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb1/8019562/3dc0fb8ef2da/sicotj-7-22-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb1/8019562/274906a60764/sicotj-7-22-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb1/8019562/e24058af7759/sicotj-7-22-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb1/8019562/3dc0fb8ef2da/sicotj-7-22-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bb1/8019562/274906a60764/sicotj-7-22-fig3.jpg

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本文引用的文献

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Knee Surg Sports Traumatol Arthrosc. 2020 Mar;28(3):767-776. doi: 10.1007/s00167-019-05442-1. Epub 2019 Feb 28.
2
Ipsilateral femoral head osteochondral transfers for osteochondral defects of the femoral head.同侧股骨头骨软骨移植治疗股骨头骨软骨缺损
J Hip Preserv Surg. 2017 Jun 9;4(3):231-239. doi: 10.1093/jhps/hnx022. eCollection 2017 Aug.
3
Mosaicplasty for the treatment of a large traumatic osteochondral femoral head lesion: a case report with 2 year follow-up and review of the literature.
Bone Jt Open. 2023 Jul 11;4(7):523-531. doi: 10.1302/2633-1462.47.BJO-2022-0137.R1.
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Mosaicplasty of the Femoral Head: A Systematic Review and Meta-Analysis of the Current Literature.股骨头镶嵌成形术：当前文献的系统评价与荟萃分析
Cureus. 2022 Nov 24;14(11):e31874. doi: 10.7759/cureus.31874. eCollection 2022 Nov.
马赛克成形术治疗大型创伤性股骨头骨软骨损伤：1例随访2年的病例报告并文献复习
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