吻合血管游离腓骨移植治疗股骨颈陈旧性骨折及骨不连

摘要

Objective To evaluate the clinical result of the treatment of old femoral neck fracture and nonunion with free vascularized fibular grafting.Methods From November 2000 to December 2005,29 cases with old femoral neck fracture and nonunion had been treated by free vascularized fibular grafting with an average follow-up of 28.5 months.Resnits All the fracture were healed without any severe complications.And the healing time was 4-6 months(5.6 months on average).During the follow-up,the hips of 28 cases got well-function,and the average Harris hip score was 88.2.One case came about with osteoneerosis of femoral head after one year and finally accepted THA after 2 years.Conclusions The free vascularized fibular grafting iS a valuable procedure to treat old femoral neck fracture and nonunion.%目的 评价吻合血管的游离腓骨移植术治疗股骨颈陈旧性骨折和骨不连的临床疗效.方法 2000年11月至2005年12月采用吻合血管的游离腓骨移植术治疗29例股骨颈陈旧性骨折或骨不连患者,平均随访时间28.5个月,对患者的临床资料进行回顾性分析.结果 术后所有患者均未出现严重手术并发症.患者均获得骨折愈合,骨折愈合时间4～6个月,平均5.6个月.除1例患者术后1年并发股骨头坏死,2年后置换人工关节,其余28例患者在随访期间内髋关节功能良好,Harris评分达88.2分,治愈率达96.3%.结论 吻合血管的游离腓骨移植术是治疗股骨颈陈旧性骨折和骨不连的有效方法.