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《Journal of Zhengzhou University(Medical Sciences)》 2009-02
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Effects of titanium web containing strut bone grafting pedicled with femoral quadratus on 20 patients with osteonecrosis of femoral head

WANG Yisheng,CAO Yawei,LI Junwei,WANG Xin,YANG Guohui,Anul Raj Bijukehhe Departmemt of Orthopaedic Surgery,the First Affiliated Hospital,Zhengzhou University;Open Laboratory of Unode Science of Clinical Medicine of Henan Province,Zhengzhou 450052  
Aim:To analyze the clinical effects of a new technique of titanium web containing strut bone grafting pedicled with femoral quadratus on the osteonecrosis of femoral head (ONFH).Methods:A total of 20 patients with 22 hips suffered from ONFH underwent by titanium web containing strut bone grafting pedicled with femoral quadratus.Of them,male was 18 cases and female was 2 cases. The age was 21.0~45.0(28.5±5.1) years. According to classifying from etiological factors,the alcohol-induced ONFH was in 14 patients with 14 hips,steroid-induced ONFH was in 4 patients with 4 hips,steroid and alcohol-induced ONFH was in 2 patients with 4 hips. According to association research circulation osseous (ARCO) classifying,7,8,5,and 2 hips were in stage Ⅱ-A,Ⅱ-B,Ⅱ-C,and Ⅲ-A,respectively. There were 6 hips in left side and 16 hips in right side.Results:The pain of the hip area in all patients disappeared or mostly relieved after the operation,and movement of hip was improved. The height of the femoral head underwent by the surgery was increased in stage Ⅲ-A. The period of postoperative follow-up studied from 3 to 16 months. The results showed excellent in 16 hips and good in 6 hips. Of them,all hips were excellent in stage Ⅱ-A and Ⅱ-B. There were excellent in 4 hips and good in 1 hip in stage Ⅱ-C. There were excellent in 1 hip and good in 1 hip in stage Ⅲ-A. The effect was better in stage Ⅱ-A,Ⅱ-B,and Ⅱ-C(P0.05). The 3 to 4 months was needed for ossification concrescence of the bone grafting in the femoral head.Conclusion:The effects of the new technique of titanium web containing strut bone grafting pedicled with femoral quadratus are satisfactory for ONFH in stage Ⅱ according to ARCO classifying. Its long-term effects should be further observed.
【CateGory Index】: R687.3
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