人工髋支撑关节治疗股骨头缺血性坏死

目的 :研究人工髋支撑关节治疗股骨头缺血性坏死的临床效果。方法 :1996年 4月～ 1998年 12月 8例各种原因引起的股骨头缺血性坏死者行人工髋支撑关节置入手术 ,同时对 6例患者行股骨头髓心减压。Ficat分期Ⅱ期 6例 ,Ⅲ期 1例。结果 :随访 1～ 2 .8年 ,按股骨头缺血性坏死疗效评价标准评价 :优 6例 ,良 2例。结论 :人工髋支撑关节能有效防止早、中期股骨头坏死的发展、塌陷 ,促进其修复痊愈 ,具有创伤小、手术方便、不破坏股骨头残存血管和周围组织结构等特点 ,避免长期卧床给工作和生活带来的不便 ,明显改善生活质量

TREATING ISCHEMIC MECROSIS OF FEMORAL HEAD WITH HIP-JOINT ENDOAPPARATUS

Objective:Research on the clinical result of treating ischemic necrosis of femoral head.Method:From Apr.1996 to Dec.1998,8 cases of ischemic necrosis of femoral head caused by different reasons were implanted with hip-joint endoapparatus,and at the same time 6 of them received core decompression of the femur.According to Ficat classification,6 cases belonged to 2nd stage,and 1 case 1st stage. Result:The follow-up varied from 1 to 2.8 years,and, according to the evalvation criteria based on the curative effect,6 cases were excellent,2 being good. Conclusion:The hip-joint endoappartus can effectively prevent the deterioration and collapse of early and mid-stage femoral head necrosis,and hasten its restoration.It has the advantage of smaller wound,easier operation and much less damage to the remaining blood vessels and surrounding tissues of the femoral head.Besides,it minimizes the inconvenience to work and life caused by long-term bed rest ,and gratly improves the quality of life.