早期股骨头坏死保头手术治疗进展

 股骨头坏死常见于青壮年患者应用大剂量激素、创伤及酗酒之后,也有一些病因不明。对于青壮年患者应通过各种方法避免股骨头进一步塌陷而进入晚期骨关节炎阶段。除股骨头髓芯减压之外,再配合植入物以期改善股骨头缺血坏死情况,并给予一定力学支撑防止股骨头进一步塌陷,从而延缓髋关节人工关节置换。本文综述了目前常见的股骨头坏死保头手术治疗方案,并分析各方法的优势及不足。

Treatment progress of joint-preserving procedures forfemoral head necrosis in the early stage

Patients with femoral head necrosis are common in young adults.There are plenty of reasons causing femoral head necrosis in young adults,such as the application history of high-dose corticosteroid,femoral neck fracture aroused by trauma,alcoholism,etc.Otherwise,there are still some unknown etiologies of femoral head necrosis.For young patients,the preferred treatment of femoral head necrosis is taking a variety of methods to avoid further collapse of the femoral head and going into the late stage of osteoarthritis.Other than utilizing the simple core decompression of the femoral head,orthopaedic surgeons often combine with some implants,hoping to improve the blood supply of femoral head and give mighty mechanical assistance to prevent further collapse of the femoral head,thus can delay the replacement of artificial hip joint.In this Review,we summarize the joint-preserving procedures for femoral head necrosis,and analyze the advantages and disadvantages of each method.