Treating ischemic necrosis of femoral head with vascularized great trochanter bone flap graft under the surveillance of arthroscope
- VernacularTitle:关节镜监视下带血管蒂大转子骨瓣转移治疗股骨头缺血性坏死
- Author:
Dewei ZHAO
;
Weiming WANG
;
Xu CUI
- Publication Type:Journal Article
- Keywords:
Arthroscope;
Femoral head;
Osteonecrosis
- From:
Chinese Journal of Microsurgery
2000;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To probe into the microsurgical method of using arthroscope in treating ischemic necrosis of femoral head(INFH) Method Twenty six cases (33 hips) with early stage of INFH were operated by vascularized greater trochanter bone flap graft through the lateral acetabulum approach under the surveillance of arthroscope Result The follow up ranged from 1 to 3 years Function evaluation was made according to pain,function,joint activity and radiographic criteria The clinical results were satisfactory Conclusion With this method, can accurately clean the sequestra and reconstruct the blood supplying system of femoral head At the same time, the injury of the peripheral muscle of hip joint and ligament can be further reduced and the function of hip joint can be recovered maximally So the method of applying arthroscope and microsurgical technique to treat early stage INFH is a simple, convenient and effective method
