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

组织工程与重建外科杂志 ›› 2024, Vol. 20 ›› Issue (1): 93-.

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

发布日期:2024-03-07

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

Published:2024-03-07

摘要/Abstract

摘要：

目的　探究带血管蒂游离腓骨移植（FVFG）联合髋关节外固定架治疗早中期股骨头坏死（ONFH）的临床疗效。

方法　回顾性分析了2020年1月至2021年1月就诊的50例早中期ONFH患者，其中25例患者进行FVFG联合髋关节外

固定架牵开治疗，设为治疗组；另外25例仅进行单纯FVFG，设为对照组。观察各组Harris评分、VAS评分及X线分级评

定的改善情况，分析相关影像学指征。结果　术后两组患者Harris评分、VAS评分均较术前有明显改善（P＜0.001），且

观察组明显优于对照组（P＜0.05）。X线分级评定显示观察组96%患者有效，而对照组84%的患者有效，差异有统计学

意义（P＜0.05）。结论 FVFG联合髋关节外架牵开治疗早中期ONFH疗效优良，值得临床推广。

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

Abstract: 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.

Key words:

Free vascularized fibular grafting, Distraction of external frame of hip joint, Early and middle stage of

femoral head necrosis, Clinical efficacy

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-.

ZHANG Yulong, WANG Meng. 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[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2024, 20(1): 93-.