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股骨头缺血性坏死的血管重建术(作者译)

[Revascularization of the femoral head for avascular necrosis (author's transl)].

作者信息

Judet H, Gilbert A, Judet J

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1981;67(3):261-6.

PMID:6456502
Abstract

The authors present an original technique for the treatment of avascular necrosis of the hip. The femoral head is dislocated and the articular cartilage is opened. The necrosed bone is excised and replaced by new cancelous bone. A fibula with the vascular pedicle is then introduced in the femoral head on its anterior aspect, and revascularized by microvascular anastomoses. Nineteen patients have been operated but the follow-up is not long enough. It will take several years before a complete assessment of the technique is possible.

摘要

作者介绍了一种治疗股骨头缺血性坏死的原创技术。将股骨头脱位并切开关节软骨。切除坏死骨,并用新的松质骨替代。然后将带有血管蒂的腓骨植入股骨头的前侧,并通过微血管吻合实现血管再生。19例患者已接受手术,但随访时间不够长。要对该技术进行全面评估还需要数年时间。

相似文献

1
[Revascularization of the femoral head for avascular necrosis (author's transl)].股骨头缺血性坏死的血管重建术(作者译)
Rev Chir Orthop Reparatrice Appar Mot. 1981;67(3):261-6.
2
Revascularization of the femoral head in osteonecrosis.股骨头缺血性坏死的血管重建
J Am Acad Orthop Surg. 1998 Jan-Feb;6(1):44-54. doi: 10.5435/00124635-199801000-00005.
3
Free microvascular fibular transfer for idiopathic femoral head necrosis: long-term follow-up.游离微血管腓骨移植治疗特发性股骨头坏死的长期随访
J Reconstr Microsurg. 1991 Oct;7(4):285-95. doi: 10.1055/s-2007-1006786.
4
[Therapeutic progress of avascular osteonecrosis of the femoral head using a fibular graft by vascular anastomosis].[应用带血管吻合腓骨移植治疗股骨头缺血性坏死的研究进展]
Zhongguo Gu Shang. 2009 Jan;22(1):76-8.
5
Cortical bone allografting in femoral head necrosis.股骨头坏死中的皮质骨移植术。
Acta Orthop Belg. 1999;65 Suppl 1:57-61.
6
[The treatment of avascular necrosis of the femoral head with vascularized fibular grafting: a report of three cases].[带血管蒂腓骨移植治疗股骨头缺血性坏死:三例报告]
Acta Orthop Traumatol Turc. 2005;39(5):449-54.
7
Vascularized fibular grafting for treatment of aseptic necrosis of the femoral head--preliminary results in four cases.带血管蒂腓骨移植治疗股骨头无菌性坏死——4例初步结果
Microsurgery. 1983;4(1):17-22. doi: 10.1002/micr.1920040108.
8
Long-term results of free vascularized fibular grafting for femoral head necrosis.游离带血管腓骨移植治疗股骨头坏死的长期疗效
Clin Orthop Relat Res. 2001 May(386):114-9. doi: 10.1097/00003086-200105000-00015.
9
[Post-traumatic femur head necrosis following trochanter fracture].转子骨折后创伤性股骨头坏死
Z Orthop Ihre Grenzgeb. 1984 Nov-Dec;122(6):766-9. doi: 10.1055/s-2008-1045064.
10
[Revitalisation operation in femoral head necrosis (author's transl)].股骨头坏死的修复手术(作者译)
Orthopade. 1980 Sep;9(4):255-9.

引用本文的文献

1
The place of intertrochanteric osteotomy in the treatment of idiopathic necrosis of the head of the femur.转子间截骨术在特发性股骨头坏死治疗中的地位
Int Orthop. 1986;10(1):41-6. doi: 10.1007/BF00266271.
2
Reconstruction of large skeletal defects by vascularized fibula transfer. Factors that influenced the outcome of union in 62 cases.采用带血管蒂腓骨移植重建大的骨骼缺损。影响62例愈合结果的因素。
Int Orthop. 1990;14(2):121-8. doi: 10.1007/BF00180115.
3
Bone transplantation.骨移植
Arch Orthop Trauma Surg. 1990;109(1):1-8. doi: 10.1007/BF00441902.
4
Operative treatment of femoral head necrosis.股骨头坏死的手术治疗
Arch Orthop Trauma Surg. 1992;111(2):85-90. doi: 10.1007/BF00443473.