目的比较髂骨移植和腓骨移植治疗中青年股骨头坏死(osteonecrosis of the femoral head,ONFH)的临床疗效。方法2008年6月-2020年6月,在本院保髋治疗ONFH患者37例,其中21例患者接受髂骨移植,分为A组,16例患者接受腓骨移植,分为B组,比较...目的比较髂骨移植和腓骨移植治疗中青年股骨头坏死(osteonecrosis of the femoral head,ONFH)的临床疗效。方法2008年6月-2020年6月,在本院保髋治疗ONFH患者37例,其中21例患者接受髂骨移植,分为A组,16例患者接受腓骨移植,分为B组,比较两组患者的手术前后以及随访后的相关数据。结果两组均顺利完成手术,A组平均手术时间为117.14 min±28.31 min,B组平均手术时间为159.38 min±34.15 min,P<0.05,A,B两组之间的差异有统计学意义;A组术后疼痛评分评分为2.76±0.89,B组术后疼痛评分为2.88±0.81,P>0.05,两组间没有差异;A组术后髋关节功能评分为85.33±5.77,B组术后髋关节功能评分为84.94±6.67,P>0.05,两组间没有差异;A组3例患者后期进行了人工关节置换术,B组2例患者后期进行了人工关节置换术;A组4例患者发生了术后并发症,分别为一例伤口感染,三例髋关节疼痛,B组3例患者发生了术后并发症,分别为一例伤口感染两例伸踇障碍。结论A组平均手术时间明显低于B组,其他方面的差异没有统计学意义。展开更多
laterals or femoral head and neck of 18 mature healthy male domestic dogs were divided into two groups by the principle or auto-control.Avascular osteonecrosis of femoral head(ONFH)and old femoral neck fracture(FNF)w...laterals or femoral head and neck of 18 mature healthy male domestic dogs were divided into two groups by the principle or auto-control.Avascular osteonecrosis of femoral head(ONFH)and old femoral neck fracture(FNF)were made respectively.Free vascularized fibula grafting was performed 2 weeks later.Arter operation, X-ray,histopathological,electron microscopic,tetracycline fluorescence labelling and99mTc-methylene diphosphorate scanning were carried out respectively.The result indicated that free vascularized fibula grarting could provide new blood supply system to injured femoral head and participate in the repairing process of avascular uecrosis of femoral head.展开更多
文摘目的比较髂骨移植和腓骨移植治疗中青年股骨头坏死(osteonecrosis of the femoral head,ONFH)的临床疗效。方法2008年6月-2020年6月,在本院保髋治疗ONFH患者37例,其中21例患者接受髂骨移植,分为A组,16例患者接受腓骨移植,分为B组,比较两组患者的手术前后以及随访后的相关数据。结果两组均顺利完成手术,A组平均手术时间为117.14 min±28.31 min,B组平均手术时间为159.38 min±34.15 min,P<0.05,A,B两组之间的差异有统计学意义;A组术后疼痛评分评分为2.76±0.89,B组术后疼痛评分为2.88±0.81,P>0.05,两组间没有差异;A组术后髋关节功能评分为85.33±5.77,B组术后髋关节功能评分为84.94±6.67,P>0.05,两组间没有差异;A组3例患者后期进行了人工关节置换术,B组2例患者后期进行了人工关节置换术;A组4例患者发生了术后并发症,分别为一例伤口感染,三例髋关节疼痛,B组3例患者发生了术后并发症,分别为一例伤口感染两例伸踇障碍。结论A组平均手术时间明显低于B组,其他方面的差异没有统计学意义。
文摘laterals or femoral head and neck of 18 mature healthy male domestic dogs were divided into two groups by the principle or auto-control.Avascular osteonecrosis of femoral head(ONFH)and old femoral neck fracture(FNF)were made respectively.Free vascularized fibula grafting was performed 2 weeks later.Arter operation, X-ray,histopathological,electron microscopic,tetracycline fluorescence labelling and99mTc-methylene diphosphorate scanning were carried out respectively.The result indicated that free vascularized fibula grarting could provide new blood supply system to injured femoral head and participate in the repairing process of avascular uecrosis of femoral head.
