The iliac periosteal flap with ascending branch of lateral femoral circumflex artery for the treatment of Legg-Calvé-Perthes disease
10.3760/cma.j.issn.1001-2036.2015.03.007
- VernacularTitle:带旋股外侧动脉升支髂骨骨膜瓣植入治疗儿童股骨头缺血性坏死
- Author:
Weimin FU
;
Dewei ZHAO
;
Benjie WANG
;
Zhijie MA
;
Jianchuan WANG
- Publication Type:Journal Article
- Keywords:
Legg-Calvé-Perthes disease;
Ascending branch of lateral femoral circumflex artery;
Periosteal flap;
Microsurgical operation
- From:
Chinese Journal of Microsurgery
2015;38(3):231-234
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of the iliac periosteal flap with ascending branch of lateral femoral circumflex artery for the treatment of Legg-Calvé-Perthes disease.Methods Followed-up 18 patients with Legg-Calvé-Perthes disease who had undergone the treatment of iliac periosteal flap with ascending branch of lateral femoral circumflex artery from January,2008 to May,2012 in our hospital.Minimum follow-up time was from 24 to 60 months,and the average time was 38 months.The followed-up period ended in May,2014.Assessed the effect of surgery by X-ray,clinical examination and Harris scoring system.Results Sixteen patients had good healing with iliac periosteal flap according to X-ray show.Their epiphyseal height recovered and the femoral head rounded gradually.Two cases became flat and collapse.The result of excellent and good rate was 88.9％ by Mose method combined with the results of X-ray.The average Harris hip score improved from 72.3 ± 4.9 points preoperatively to 91.3 ± 2.4 points postoperatively.The difference of the result was statistically significant (P ＜ 0.05).Conclusion The transfer of iliac periosteal flap with ascending branch of lateral femoral circumflex artery is an effective treatment for Legg-Calvé-Perthes disease.
