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《Journal of Tropical Medicine》 2004-03
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Transplantation of Iliac Periosteum with Deep Iliac Circumflex Vessels Pedicle in the Treatment of Ischemic Necrosis of Femoral Head

GU Jian qiang,GUO Hai ou (Department of Surgery,the Peoples Hospital of Gaoyao City,Guangdong,Gaoyao 526040,China)  
Objective To explore the curative effect of transplantation of iliac periosteum with deep iliac circumflex vessels pedicle in the treatment of ischemic necrosis of femoral head. Methods The iliac periosteum with deep iliac circumflex vessels pedicle was implantated into the necrosis and collapsed area of femoral head in 7 patients.The vascular bundle was fixed outside the joint. Results All the operation was successful.The patients were followed up from 6 months to 18 months, with an average of 10 months. The post operation arthralgia was remitted.The patients could walk over 2km and did not feel uncomfortable. The collapsed head did not continue to collapse revealed by X ray examination. Conclusions The advantages of transplantation of iliac periosteum with deep iliac circumflex vessels pedicle in the treatment of ischemic necrosis of femoral head are as follows:(1) clearing up the necrotic femoral head; (2) revascularization of femoral head; (3)local implantation of large osteogenesis effector cell and these cells can form new bone in the surface of necrotic bone trabecula by conduction or induction.
【CateGory Index】: R687.34
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【Citations】
Chinese Journal Full-text Database 1 Hits
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【Co-citations】
Chinese Journal Full-text Database 10 Hits
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