Effects of the bone grafting pedicled with femoral quadratus for the osteonecrosis of femoral head
10.3760/cma.j.issn.1001-2036.2015.03.008
- VernacularTitle:带股方肌蒂的骨瓣移植术治疗成人股骨头缺血性坏死的疗效
- Author:
Chi ZHANG
;
Junkui SUN
;
Xiuli WANG
;
Yisheng WANG
- Publication Type:Journal Article
- Keywords:
Osteonecrosis of femoral head;
Bone pedicled with femoral quadratus;
Bone transplantation
- From:
Chinese Journal of Microsurgery
2015;38(3):235-237
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical effect of the bone grafting pedicled with femoral quadratus for the osteonecrosis of femoral head.Methods The clinical operation data were analyzed from 355 patients with osteonecrosis of femoral head underwent by the surgery of the bone grafting pedicled with femoral quadrates in the First Affiliated Hospital of Zhengzhou University from August,2006 to June,2013.According to association research circulation osseous (ARCO) classifying,41,126,115,62,6 and 5 patients were in stage Ⅰ-C,Ⅱ-A,Ⅱ-B,Ⅱ-C,Ⅲ-A,and Ⅲ-B.The results were evaluated by the hundred forked method.Results All the patients obtained the outpatient followed-up after operation,the follow-up time was 1-8 (4.3 ± 1.8) years.The pain of the hip,the function of the joint,the motion of hip joint,and the X ray evaluation became better than preoperations.There were statistically significant differences in the healing time among all the age patients (P ＜ 0.05),along with the age growth,the healing time gradually extended.Compared with that before operation,the scores of all the stage patients after operation were higher (P ＜ 0.05).The rate of excellent and good results were 98.5％,98.0％,92.3％,89.7％,83.5％,81.3％ in stage Ⅰ-C,Ⅱ-A,Ⅱ-B,Ⅱ-C,Ⅲ-A,and Ⅲ-B,the excellent and good rate was 93.8％ of all the 355 patients.Conclusion Bone grafting pedicled with femoral quadratus is effective surgical method for the osteonecrosis of femoral head.
