摘要
目的观察网状钛柱植入治疗成人中晚期股骨头坏死的疗效。方法采用AO网状钛柱植入32例40髋坏死塌陷股骨头内，网状钛柱内填满自体髂骨骨粒，撑起塌陷的股骨头。结果所有病例均获得随访，随访时间1～4年，平均2．5年，28例疼痛消失，3例疼痛轻度，1例疼痛中度。所有术前ARCOⅢ期者均恢复同心圆形状，疗效按Harris评分，优23髋，良16髋，差1髋，优良率为92．7％。结论网状钛柱植入治疗成人中晚期股骨头坏死有较好的临床疗效。
Objective To explore the effect of the reticulate titanium column to treat adult osteonecrosis of femoral head. Methods AO reticulatetitanium columns stuffed full with self - body iliac bone grain were implanted into the necrotic area of femoral head in 32 patients （40 hips）classified as stageⅡB to stage Ⅲ according to ARCO classifying. Results All the patients were followed up from 12 to 48 months with the mean of 30 months. Postoperatively, 28 cases were pain free , 3 had mild pain, and 1 had moderate pain. The collapsed femoral head in all the cases with stage Ⅲ were recovered concentric circleshape. The effect were evaluated according to the Harris score. Twenty -three hips were excellent. Fourteen hips were good and 1 hips was poor. Conclusions It has the better clinical effect to treat adult osteonecrosis of femoral head with the reticulate titanium column implanted into the collapsed femoral head.
出处
《中国实用医刊》
2009年第1期34-35,共2页
Chinese Journal of Practical Medicine
