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我们采用带旋髂深动脉血管蒂髂骨膜移植治疗儿童股骨头无菌坏死17例,术后随访1~2年,15例疼痛消失,2例长时间行走有轻微疼痛,髋关节活动皆正常.X线拍片可见头部塌陷隆起,头园光滑,轮廓清晰,骨密度正常者15例,其余2例头部塌陷停止,坏死区消失,骨力线形成。该术式优于带血管蒂骨瓣和肌骨瓣移植.带血管蒂髂骨膜血液直接受滋养动脉供应,血循环丰富,小儿骨膜厚,细胞内生层充分,成骨作用强,其血管蒂有足够长度,位移角度小,不易扭曲,髂骨膜供区广泛,可根据需要切取,不仅能提供丰富的血运,而且有成骨减压和重建循环的作用。
17 cases of aseptic necrosis of the femoral head were treated with iliac periosteum with iliac crest iliac artery pedicle graft. After a follow-up of 1-2 years, 15 cases of pain disappeared, 2 cases had slight pain when walking for a long time, and hip joint activities were normal. X-ray film shows the head collapse uplift, smooth head, clear outline, normal bone mineral density in 15 cases, the remaining two cases of head collapse collapse, necrosis disappeared, the formation of bony lines. The surgical procedure is superior to the pedicle bone graft and musculoskeletal transplantation. The vascular pedicle iliac peritoneal membrane is directly supplied by the nourishing artery, the blood circulation is rich, the pediatric periosteum is thick, the cell endoplasmic layer is sufficient, the osteogenic effect is strong, the pedicle blood vessel has sufficient length, the displacement angle is small, Can be cut according to need, not only can provide a wealth of blood supply, but also the role of osteoblasts decompression and reconstruction of the cycle.