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缝匠肌蒂髂骨瓣移植治疗股骨颈骨折后股骨头坏死
引用本文:童卫华,张立,李祖国,胡学峰,范成金.缝匠肌蒂髂骨瓣移植治疗股骨颈骨折后股骨头坏死[J].东南国防医药,2007,9(4):262-264.
作者姓名:童卫华  张立  李祖国  胡学峰  范成金
作者单位:1. 南京军区庐山疗养院骨科,江西九江,332000
2. 解放军第184医院,江西鹰潭,335000
摘    要:目的 探讨缝匠肌蒂髂骨瓣在治疗股骨颈骨折后股骨头缺血性坏死中的应用价值.方法 1995~2004年采用缝匠肌蒂髂骨瓣移植治疗股骨颈骨折后股骨头坏死27例,术后定期复查X线片观察治疗效果.结果 25例股骨颈骨折愈合,22例股骨头坏死有不同程度的改善,5例股骨头缺血坏死治疗无效,其中1例行人工髋关节置换.结论 缝匠肌蒂髂骨瓣能较快的为坏死股骨头提供新的血运来源,促进骨折愈合及股骨头骨质修复.

关 键 词:股骨颈骨折  股骨头坏死  缝匠肌蒂髂骨瓣  缝匠肌蒂  髂骨瓣  移植治疗  股骨颈骨折后  股骨头坏死  grafting  femoral  neck  fracture  femoral  head  necrosis  骨质修复  促进骨折愈合  来源  死股骨头  髋关节置换  缺血坏死  改善  程度  结果  治疗效果  定期复查  术后
文章编号:1672-271X(2007)04-0262-03
修稿时间:2007-05-08

Treatment of femoral head necrosis after femoral neck fracture with sartorius-ilium grafting
TONG Wei-hua,ZHANG Li,LI Zu-guo,HU Xue-feng,FAN Cheng-jin.Treatment of femoral head necrosis after femoral neck fracture with sartorius-ilium grafting[J].Journal of Southeast China National Defence Medical Science,2007,9(4):262-264.
Authors:TONG Wei-hua  ZHANG Li  LI Zu-guo  HU Xue-feng  FAN Cheng-jin
Institution:1. Orthopedic Department, Lushan sanatorium, Nanjing Military Command, Jiujiang 332000, ,liangxi,China ; 2. The 184th Hospital of PLA , Yingtan 335000, Jiangxi ,China
Abstract:Objective To investigate the applying of sartorius-ilium grafting in curing fracture of femoral neck combined with necrosis of femoral head. Methods 27 cases of fracture of femoral neck combined with necrosis of femoral head were treated by sartorius-ilium grafting,and they were callbacked termly after operation. Results 25 cases of femoral neck fracture healed up, and 22 cases reformed. 5 cases were of no effects. Of them, 1 case were treated with artificial hip-joint replacement. Conclusion Sartorius-ilium grafting can offer new blood-supply for necrotic femoral head, and accelerate the healing up of fracture and reform of femoral head.
Keywords:Fracture of femoral neck  Necrosis of femoral head  Sartorius-ilium grafting
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