组织工程与重建外科杂志2024，Vol.20Issue(1)：93-96,4.DOI:10.3969/j.issn.1673-0364.2024.01.009
带血管蒂游离腓骨移植联合髋关节外固定架治疗早中期股骨头坏死的临床疗效分析
Clinical analysis of the treatment of early and middle stage femoral head necrosis with free vascularized fibulagraft combined with distraction of hip joint external frame
摘要
Abstract
Objective To explore the clinical effect of free vascularized fibulagraft(FVFG)combined with hip joint external frame distraction in the treatment of early and middle stages of osteonecrosis of the femoral head(ONFH).Methods A retrospective analysis was conducted on 50 patients with early to mid stage ONFH from January 2020 to January 2021.Among them,25 patients received FVFG combined with hip joint external fixation were set up as the treatment group,while the other 25 patients received simple FVFG transplantation were set up as the control group.The improvement of Harris score,VAS score,and X-ray grading in each group were observed,and the relevant imaging indications were analyzed.Results Postoperative Harris scores and VAS scores of the two groups were significantly improved,and the difference was statistically significant(P＜0.001).There were statistically significant differences in Harris scores and VAS scores between the two groups after treatment(P＜0.05).X-ray grading showed that 96% of patients in the observation group were effective,while 84%of patients in the control group were effective,and the difference was statistically significant(P＜0.05).Conclusion FVFG combined with distraction of external frame of hip joint in the treatment of ONFH has a certain effect and is worthy of clinical promotion.关键词
带血管游离腓骨移植/髋关节外架牵开/早中期股骨头坏死/临床疗效Key words
Free vascularized fibular grafting/Distraction of external frame of hip joint/Early and middle stage of femoral head necrosis/Clinical efficacy分类
医药卫生引用本文复制引用
张玉龙,王猛..带血管蒂游离腓骨移植联合髋关节外固定架治疗早中期股骨头坏死的临床疗效分析[J].组织工程与重建外科杂志,2024,20(1):93-96,4.基金项目
河北省卫生厅课题(20201421). （20201421）
