带血管蒂髂骨膜瓣移位治疗股骨头缺血性坏死

目的 探讨带血管蒂的髂骨膜瓣移位治疗股骨头缺血性坏死的疗效。方法 １９８３年６月～１９９７年８月，应用带旋股外血管升支或旋髂深血管蒂的髂骨膜瓣移位治疗股骨头缺血性坏死１０６例，其中Ⅱ期６４例，Ⅲ期３９例，Ⅳ期３例。结果 １０６例经２年４个月～１６例随访，根据赵德伟制定的成人股骨头缺血性坏死修复与再造疗效评价方法，成５４例，良３８例，可９例，优良率为８６．８％。结论 带血管蒂髂骨膜瓣移位治疗股骨头缺

TREATMENT OF ISCHEMIC NECROSIS OF FEMORAL HEAD BY THE TRANSFER OF VASCULAR PEDICLED ILIAC PERIOSTEUM

OBJECTIVE: To investigate the therapeutical effect of treatment of ischemic necrosis of femoral head by the transfer of vascular pedicled iliac periosteum. METHODS: From June 1983 to August 1997, 106 cases with ischemic necrosis of femoral head (II stage in 64 cases, III stage in 39 cases, IV stage in 3 cases) were treated by the transfer of vascular pedicled iliac periosteum with ascending branch of lateral femoral circumflex vessel or deep circumflex iliac vessel pedicle. RESULTS: Followed up 2 years and 4 months to 16 years, there were excellent in 54 cases, better in 38 cases, moderate in 9 cases, poor in 5 cases, and 86.8% in excellent rate according to the criterion of the therapeutical effect on the repair and reconstruction of adult ischemic necrosis of femoral head. CONCLUSION: Treating ischemic necrosis of femoral head by the transfer of vascular pedicled iliac periosteum has the advantage of constant pedicle, easily drawing materials and reliable therapeutical effect.