[1]浦路桥,李川,齐宝闯,等.改良与传统股方肌骨瓣治疗青壮年股骨头坏死的临床疗效比较[J].中华老年骨科与康复电子杂志,2024,(03):165-170.[doi:DOI:10.3877/cma.j.issn.2096-0263.2024.03.007]
 Pu Luqiao,Li Chuan,Qi Baochuang,et al.Comparison of clinical efficacy of modified quadrat femoral bone flap and traditional quadrat femoral bone flap in the treatment of osteonecrosis of the femoral head in young adults[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2024,(03):165-170.[doi:DOI:10.3877/cma.j.issn.2096-0263.2024.03.007]
点击复制

改良与传统股方肌骨瓣治疗青壮年股骨头坏死的临床疗效比较()
分享到:

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2024年03期
页码:
165-170
栏目:
髋关节
出版日期:
2024-06-05

文章信息/Info

Title:
Comparison of clinical efficacy of modified quadrat femoral bone flap and traditional quadrat femoral bone flap in the treatment of osteonecrosis of the femoral head in young adults
作者:
浦路桥李川齐宝闯卜鹏飞蔡兴博白艳罗欢徐永清
650032 昆明,中国人民解放军联勤保障部队第九二〇医院骨科
Author(s):
Pu Luqiao Li Chuan Qi Baochuang Bu Pengfei Cai Xingbo Bai Yan Luo Huan Xu Yongqing
Department of Orthopaedic,920th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army, Kunming 650032, China
关键词:
股骨头坏死 股方肌骨瓣 髋关节 数字减影血管造影
Keywords:
Osteonecrosis of the femoral head Modified quadrat femoral bone flap Hip joint Digital subtraction angiography
DOI:
DOI:10.3877/cma.j.issn.2096-0263.2024.03.007
文献标志码:
A
摘要:
目的 回顾性分析比较改良股方肌骨瓣与传统股方肌骨瓣治疗青壮年股骨头坏死的临床疗效。方法 按照纳入及排除标准收集联勤保障部队第九二〇医院2019年1月至2020年7月因股骨头坏死接受保髋手术治疗的78例患者资料,分为改良股方肌骨瓣组和传统股方肌骨瓣组,各组38例,对比分析两组手术时间,切口长度,Hb下降量,术后36个月VAS评分,髋关节Harris评,及髋关节活动度及并发症情况,股骨头生存率等指标,评价两种手术方式的临床效果。结果 所有患者均顺利完成手术并获得随访,随访时间为(39.5±3.2)月,无伤口感染及深静脉血栓等并发症发生。改良组切口平均长度(10.7±0.9)cm,血红蛋白(hemoglobin,Hb)下降量(10.6±1.1)g/L,较传统组(13.5±0.7)cm,(12.1±1.1)g/L均减小,P<0.05,差异有统计学意义;术后36个月改良组髋关节Harris评分(86.7±4.5)、ROM(311.5±15.0)较传统组(82.7±5.4)、(294.4±20.8)改善明显,P<0.05,差异有统计学意义,两组患者在手术时间及VAS评分方面无显著差异,改良组优良率94.7%与传统组优良率89.5%无显著性差异,改良组股骨头生存率高于传统组。结论 改良股方肌骨瓣可有效保留股骨头后上支持带动脉,治疗青壮年股骨头坏死的临床疗效较传统股方肌骨瓣效果好,是保留髋关节手术的一种选择。
Abstract:
Objective To investigate the clinical effect of the modified quadrat femoral bone flap and the traditional quadrat femoral bone flap. Methods According to the inclusion and exclusion criteria, data of 78 patients who received hip preservation surgery for femoral head necrosis from 920th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army from January 2019 to July 2020 were collected and divided into the improved quadrate femoral bone flap group and the traditional quadrate femoral bone flap group, with 38 cases in each group, operation time, incision length, Hb reduction, VAS score 36 months after operation, Harris score of hip joint, hip joint motion and complications, and survival rate of femoral head were compared between the two groups. To evaluate the clinical effect of the two surgical methods. Results All patients successfully completed the operation and were followed up for (39.5±3.2) months. No complications such as wound infection and deep vein thrombosis occurred. The average incision length and Hb decline of the improved group were (10.7±0.9) cm and (10.6±1.1) g/L, which were both decreased compared with the traditional group (13.5±0.7) cm and (12.1±1.1) g/L, P<0.05, and the difference was statistically significant. The Harris score (86.7±4.5) and ROM (311.5±15.0) in the improved group were significantly improved than those in the traditional group (82.7±5.4) and 294.4±20.8) 36 months after surgery (P<0.05), and the difference was statistically significant. There were no significant differences in operation time and VAS scores between the two groups. The superior rate of the improved group was 94.7% and 89.5%, and the survival rate of the improved group was higher than the traditional group. Conclusion The modified quadrate femoral bone flap can effectively preserve the posterior superior supporting band artery of the femoral head. The clinical effect of the modified quadrate femoral bone flap is better than that of the traditional quadrate femoral bone flap in the treatment of femoral head necrosis in young adults.

相似文献/References:

[1]张华峰,徐倩.细胞凋亡在激素性股骨头坏死中作用机制的研究进展[J].中华老年骨科与康复电子杂志,2016,(02):119.[doi:10.3877/cma.j.issn.2096-0263.2016.02.011]
 Zhang Huafeng,Xu Qian..Mechanism progress of apoptosis in hormonal caput femoris necrosis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(03):119.[doi:10.3877/cma.j.issn.2096-0263.2016.02.011]
[2]安非梦,曹玉举,王建忠.中国北方汉族人群中MMPs基因多态性与非创伤性股骨头坏死遗传易感性的关联分析[J].中华老年骨科与康复电子杂志,2019,(02):68.[doi:10.3877/cma.j.issn.2096-0263.2019.02.002]
 An Feimeng,Cao Yuju,Wang Jianzhong.Association between genetic polymorphisms of MMPs and the risk of non-traumaticosteonecrosis of the femoral head in the Han population of northern China[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(03):68.[doi:10.3877/cma.j.issn.2096-0263.2019.02.002]

备注/Memo

备注/Memo:
基金项目:云南省骨科与运动康复临床医学研究中心(202102AA310068);联勤保障部队第九二〇医院应用基础研究专项(2023YGY14)
更新日期/Last Update: 2024-09-03