中国现代手术学杂志2017，Vol.21Issue(3)：211-213,3.DOI:10.16260/j.cnki.1009-2188.2017.03.012
髓芯减压植骨术治疗早中期股骨头坏死的疗效
The Effect of Core Decompression and Autogenous Bone Graft in the Treatment of Osteonecrosis of the Femoral Head in the Early and Middle Stage
王才成 1刘春林 1周亮1
作者信息
- 1. 江油市第二人民医院骨科,江油 621701
- 折叠
摘要
Abstract
Objective To investigate the effect of core decompression and Autogenous bone graft in the treatment of osteonecrosis of the femeral head (ONFH) in the early and middle stage and its influence on the hip joint function.Methods 118 cases with ONFH in the early and middle stage in our hospital were selected from January 2013 to January 2016,and were randomly divided into the treatment group (n =59) and the control group (n =59).The control group was treated with the femoral head and neck fenestration and bone impaction graft.The treatment group was treated with core decompression and Autogenous bone graft.The pain improvement of the 2 groups before and after operation were assessed by the visual analogue scale (VAS).The functions of hip joint in 2 groups before and after operation were evaluated by Harris score.And the complications of the 2 groups were observed and compared.Results The post-operative VAS scores of the 2 groups decreased significantly (P ＜ 0.01) comparing with the pre-operative scores.The post-operative Harris scores increased significantly (P ＜0.01).And the complication rate of the treatment group was significantly lower than the control group (P ＜ 0.01).Conclusion The 2 kinds of operations both have good curative efficacy to ONFH,but the core decompression and Autogenous bone graft has less trauma for the patients with osteonecrosis of the femeral head,which can improve the hip joint function with fewer complication rate.关键词
股骨头坏死/髓芯减压/自体骨移植Key words
femeral head necrosis/core decompression autogenous bone graft分类
医药卫生引用本文复制引用
王才成,刘春林,周亮..髓芯减压植骨术治疗早中期股骨头坏死的疗效[J].中国现代手术学杂志,2017,21(3):211-213,3.
