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中华老年骨科与康复电子杂志 ›› 2022, Vol. 08 ›› Issue (05) : 260 -262. doi: 10.3877/cma.j.issn.2096-0263.2022.05.002

创新技术

股骨头部分置换术精准微创治疗ARCO Ⅲ期股骨头缺血坏死的实验研究
王娟1, 王忠正1, 王宇钏1, 李会杰1, 李泳龙1, 程晓东1, 朱燕宾1, 吕红芝1, 陈伟1, 张英泽1,()   
  1. 1. 050051 石家庄,河北医科大学第三医院,河北省骨科研究所
  • 收稿日期:2022-10-10 出版日期:2022-10-05
  • 通信作者: 张英泽
  • 基金资助:
    国家自然科学基金面上项目(82072447)

Experimental study on precise treatment of ischemic necrosis of femoral head in ARCO stage Ⅲ by partial femoral head replacement

Juan Wang1, Zhongzheng Wang1, Yuchuan Wang1, Huijie Li1, Yonglong Li1, Xiaodong Cheng1, Yanbin Zhu1, Hongzhi Lyu1, Wei Chen1, Yingze Zhang1,()   

  1. 1. Hebei Institute of Orthopaedics, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
  • Received:2022-10-10 Published:2022-10-05
  • Corresponding author: Yingze Zhang
引用本文:

王娟, 王忠正, 王宇钏, 李会杰, 李泳龙, 程晓东, 朱燕宾, 吕红芝, 陈伟, 张英泽. 股骨头部分置换术精准微创治疗ARCO Ⅲ期股骨头缺血坏死的实验研究[J]. 中华老年骨科与康复电子杂志, 2022, 08(05): 260-262.

Juan Wang, Zhongzheng Wang, Yuchuan Wang, Huijie Li, Yonglong Li, Xiaodong Cheng, Yanbin Zhu, Hongzhi Lyu, Wei Chen, Yingze Zhang. Experimental study on precise treatment of ischemic necrosis of femoral head in ARCO stage Ⅲ by partial femoral head replacement[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(05): 260-262.

采用尸体髋关节标本对股骨头部分置换术进行实验性研究,初步评估该手术的可行性。课题组在2例成年髋关节标本上分别模拟股骨头部分置换手术,在C形臂监测下,使用空心环钻,沿股骨颈方向建立骨隧道,取出负重顶区死骨(模拟),制作骨缺损区,将合适尺寸的股骨头假体置入该区,影像学结果显示股骨头假体与骨缺损区周缘骨的匹配良好,初步认为该方法具备一定可行性。

To evaluate the feasibility of partial replacement of femoral head with cadaveric hip joint specimens. In two cases of specimens of adult hip portion of simulated femoral head replacement surgery, under the C arm monitoring, using hollow trephine, build bone tunnel along the direction of the femoral neck, remove the weight-bearing area dead bone (simulation), making bone defect area, the appropriate size of the femoral head prosthesis into the area and imaging results show that the femoral head prosthesis and bone defect area peripheral bone matching is good. Preliminary results show that this method has certain feasibility.

图8 置入股骨头假体固定后示意图
1
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