国际病理科学与临床杂志2017，Vol.37Issue(1)：16-23,8.DOI:10.3978/j.issn.2095-6959.2017.01.004
钽棒植入与骨瓣移植治疗成年人早期股骨头坏死的近期疗效对比
Comparison of the short-term efficacy between tantalum rod implantation and bone flap transplantation in the treatment of early osteonecrosis of the femoral head
摘要
Abstract
Objective:To compare the short-term clinical efficacy between the medullary core decompression combined with tantalum rod implantation and vascular pedicled iliac bone flap transplantation in the treatment of early stage of osteonecrosis of the femoral head (ONFH) of the young and middle-aged patients.Methods:Eighty-three cases (97 hips) with non-traumatic ONFH patients of January 2012 to February 2015 in our hospital were collected retrospectively,of which 43 cases (52 hip) were conducted with medullary core decompression and tantalum rod implantation,classified as group A,40 patients (47 hips) with vascular pedicled iliac bone flap transplantation,and classified as group B,1-year follow-up was conducted after operation;operation parameters,postoperative l-year Harris hip joint score and surgical efficacy of the two groups were compared.Results:Operation time (40.7±10.3) min,intraoperative blood loss (88.0±27.1) mL,postoperative analgesia pump application time (1.68±0.32) d,stitches removal time (12.8±1.5) d in group A were all significantly lower than those in group B [(82.5±17.2) min,(239.4±45.2) mL,(2.15±0.48) d,(14.2±1.9) d;P＜0.05].Total Harris hip joint score and each item score of the two groups at 12-month postoperation increased significantly compared with the preoperation scores (P＜0.05),group A whose postoperative Harris hip score (88.4±5.9) and sub index joint function score (41.5±4.8) were significantly higher than those of group B (83.6±5.3,37.5±6.1;P＜0.05).The excellent and good ratio of hip function of the two groups at 12-month post-operation were significantly higher than those in the preoperation (P＜0.05).The excellent and good ratio in group A (92.3％) at 12-month postoperation was significantly higher than those in group B (76.6％,P＜0.05).In group B,there was 1 case with femoral head collapse,and there was no such case in group A.Conclusion:Compared with vascular pedicled iliac bone flap transplantation,medullary core decompression combined with tantalum rod implantation for treatment of early ONFH has the advantages of simple operation and far superior short-term efficacy.关键词
股骨头坏死/钽棒植入术/带血管蒂髂骨瓣转移术/Harris髋关节评分/股骨头塌陷Key words
osteonecrosis of the femoral head (ONFH)/tantalum rod implantation/iliac bone flap transplantation with vascular pedicle/Harris hip joint score/femoral head collapse引用本文复制引用
高俊峰..钽棒植入与骨瓣移植治疗成年人早期股骨头坏死的近期疗效对比[J].国际病理科学与临床杂志,2017,37(1):16-23,8.基金项目
衡水市科技局科技术与发展指导计划课题(13031Z).This work was supported by Hengshui City Technology Bureau Science and Technology and Development Guidance Plan Project (3031Z),P.R.China. （13031Z）
