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《The Journal of Bone and Joint Injury》 2000-03
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The Operative Treatment of Ischemic Necrosis of Femoral Head under the Supervision of Arthroscope

Zhao Dewei,Guo Zhe.Department of Orthopaedics,Dalian Railway Hospital,Dalian,116001.  
Objective To discuss the effects of operative treatment of ischemic necrosis of femoral head under the supervision of arthroscope.Methods Thirty three patients with ischemic necrosis of femoral head inⅡ or Ⅲ stage were treated by medullary center decompression and free periosteum implantation under the supervision of arthroscope or transplantation of iliac bone flap with vascular pedicle through joint capsule.The average period of follow-up is 1 year and 9 months.Results The pain of all patients disappeare and all the patients can walk normally.The movement range of the hip joint is normal or approximate normal.X-ray films showed the outline of the femoral head being clear and cystic degeneration disappeare.The density of the femoral head was well-distributed and the joint space was normal.Conclusions The operative treatment of ischemic necrosis of femoral head under the supervision of arthroscope has the advantage of damaging lightly,accuracy,effectiveness and simplicity.
【CateGory Index】: R684
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