Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Journal of Clinical Orthopedics and Research》 2018-03
Add to Favorite Get Latest Update

Hinged distraction of the hip after decompression and bone grafting through a femoral neck window in the treatment of femoral head necrosis in young patients: The preliminary outcomes

Mao Yujiang;Wu Xinbao;Huang Lei;Zhou Li;Yi Chen;Liu Hongbo;Wei Jie;Department of Orthopedic Trauma,Beijing Jishuitan Hospital;  
Objective To investigate the treatment of femoral head necrosis in young patients with hip distraction after decompression and bone grafting through a femoral neck window. Methods From March 2017 to March 2018,7 cases of femoral head necrosis treated by hinged distraction of the hip after decompression and bone grafting through a femoral neck window were retrospectively analyzed. All of the 7 patients were male and with an average age of( 25. 7 ± 9. 8) years( ranged from 15 to 38 years). There were 6 cases of osteonecrosis of femoral head after femoral neck fracture and one case of steroid osteonecrosis. According to the staging of Association Research Circulation Osseons( ARCO),there were 2 cases in Ⅱ stage,4 cases in Ⅲ stage and one case in Ⅳ stage. Results The patients were followed up 1-12 months. The external fixators were well tolerated in 7 cases and no complication such as severe needle tract infection was found. The external frame was removed at 6 months after operation in one case. Two cases were adjusted the fixator and resumed the joint space at 6 months after operation and were reserved the external fixator at 12 months after operation. After operation,the hip pain disappeared in 6 patients with mild to moderate pain before operation previously. There was no significant change in the shape of the femoral head in 7 cases. Three cases which necrotic femoral head repair were observed by CT images at 12 months after operation. Conclusion Treatment of femoral head necrosis in young patients with hip distraction after decompression and bone grafting through a femoral neck window is feasible.Patients can tolerate the discomfort caused by the external fixator,and necrosis of the femoral head do not develop further during treatment period.
【CateGory Index】: R687.3
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved