Leung P C
Prince of Wales Hospital, Shatin, N.T., Hong Kong.
Orthop Rev. 1986 Jan;15(1):3-12.
The author recounts his experience over the past nine years, with the use of a large bone graft with an intact vascular pedicle taken from the iliac crest for the reconstruction of large defects in the proximal femoral region and for the solution of a number of difficult problems in which the femoral head is at risk of destruction or collapse. Some of these problems, particularly in the young patient, include large bony defects in the proximal femur after tumor resection, nonunion of the femoral neck fracture and avascular necrosis of the femoral head. The author cites a number of cases, comments on the satisfactory results that were obtained and cites the advantages of the large bone graft with an intact vascular pedicle.
作者讲述了他在过去九年中的经历，即使用带完整血管蒂的大块髂骨移植来重建股骨近端的大缺损，并解决一些股骨头有破坏或塌陷风险的难题。其中一些问题，尤其是在年轻患者中，包括肿瘤切除后股骨近端的大骨缺损、股骨颈骨折不愈合以及股骨头缺血性坏死。作者列举了一些病例，对所取得的满意结果进行了评论，并列举了带完整血管蒂的大块骨移植的优点。
