髋关节囊减压联合同种异体骨打压植骨移植治疗非创伤缺血性股骨头坏死临床观察

目的：总结近4年来106例（114髋）髋关节囊减压联合同种异体骨打压植骨治疗非创伤缺血性股骨头坏死患者的临床资料，对其疗效进行评价。方法2009年8月至2013年8月，对106例（114髋）ARCO II-A、II-B、II-C、III-A期非塌陷性股骨头坏死的治疗应用了髋关节囊切开减压、髓芯减压、病灶刮除、同种异体松质骨打压植骨术。结果随访1.5~4年，按Harris标准其优良率为81.5%。Harris评分由术前平均60分增加到术后4年时的平均88分。结论髋关节囊切开联合髓芯减压、病灶刮除、同种异体松质骨打压植骨术治疗早中期缺血性股骨头坏死具有良好的疗效，为保股骨头治疗提供一种微创手段。

Joint capsule and core decompression combined with allograft tamp operation in the treatment of nontraumatic osteone-crosis of femoral head

Objective To investigate the clinical value of Joint capsule and core decompression combined with allograft tamp operation on nontraumatic osteonecrosis of femoral head. Methods Joint capsule and core decompression combined with allograft tamp were performed in 106 patients（114 hip）of osteonecrosis of femoral head in ARCO IIA,IIB,IIC and IIIA stage from Au-gust 2009 to August 2013. Results Following-up period extended from 1. 5 to 4 years. According to the criteria of Harris,good and excellent rate was 81. 5%. The average score by Harris scale was raised to 88 points postoperatively from 61 points preopera-tively. Conclusion Joint capsule and core decompression combined with allograft tamp operation is one kind of minimally inva-sive surgery,and has a good curative effect on early stage of osteonecrosis of femoral head.