吻合血管腓骨联合髂骨移植治疗陈旧性股骨颈骨折

目的 对治疗失败和骨不连的股骨颈骨折病例进行吻合血管联合髂骨移植治疗并观察临床效果。方法通过对1994至1997年76例应用吻合血管联合髂骨移植治疗陈旧性股骨颈骨折患者进行长期随访，了解骨折愈合、髋关节功能和股骨头坏死情况。结果76例中68例获得随访，平均随访时间10．5年，骨折均在4-6个月内愈合。63例髋关节活动恢复接近正常，平均Harris评分87．5分。股骨头结构正常，植入腓骨和髂骨与股骨头颈部完全融合。4例发现骨坏死，1例合并髋关节脱位。结论对选择保留股骨颈的陈旧性股骨颈骨折患者，吻合血管腓骨联合髂骨移植是一种较好的方法。

Free vascularized fibular associated with iliac graft to treat old femoral neck fracture

Objective To evaluate the clinical results of free vascularized fibular associated with iliac graft in treatment of old femoral neck fracture. Methods From 1994 to 1997, 76 cases of old femoral neck fracture were treated with free vascularized fibular associated with iliac graft, they were followed up for observ- ing fracture healing, hip function and femoral head necrosis. Results Sixty-eight of these 76 cases were followed up with detail data with the main term as 10. 5 years. All fractures healed within 4 to 6 months. 63 cases got a almost normal hip function with the Harris score was 87.5, in these cases, the structure of femoral head were normal and the grafted fibular and iliac bone healed with the femoral. 4 cases got to femoral head necrosis and 1 experienced hip dislocation. Conclusion Free vascularixed fibular associated with iliac graft is a good method to treat these cases with old femoral neck fracture who want reserve their femoral head.