查詢結果分析
相關文獻
- Core Decompression for Osteonecrosis of the Femoral Head at Pre-collapse Stage
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頁籤選單縮合
題 名 | Core Decompression for Osteonecrosis of the Femoral Head at Pre-collapse Stage=股骨頭缺血性壞死之減壓治療 |
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作 者 | 陳崇桓; 張瑞根; 黃冠諭; 洪韶鴻; 林高田; 林森源; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 16:2 2000.02[民89.02] |
頁 次 | 頁76-82 |
分類號 | 416.261 |
關鍵詞 | 股骨頭缺血性壞死; 減壓治療; Osteonecrosis; Femoral head; Core decompression; |
語 文 | 英文(English) |
中文摘要 | 我們追蹤從 1984 年四月至 1998 年六月因股骨頭缺血性壞死而接受減壓治療之 25 個病人( 27 個髖關節),追蹤治療期間至少一年(平均 28 個月)。10 個髖關節( 9 個病人)因股骨頭持續塌陷超過 2mm 或因嚴重疼痛而再次接受開刀而被視為失敗。 我們再 將這些結果依其壞死之期別與壞死範圍之大小依照 Ohzono z 分類, 頭部外堤支撐指標( LHI )及 Kerboul 氏壞死角度做一個研究。 依照 Ohzono 分類,其各個部同期之存活率為 :1B:100%,1C:44%,2:25%,3B:0%。 在 Kerboul 氏壞死角度小於 250 °的髖關節中,除 了一個之外,其餘的關節都得到成功的結果。所有 Kerboul 氏壞死角度超過 250 °的關節 都繼續塌陷而失敗。 14(93%) 個頭部外堤支撐指標超過 20% 的髖關節不再塌陷。頭部外堤 支撐指標小於 12% 的髖關節中,只有一個沒有塌陷。 所以我們推論減壓手術在早期合併有 小的壞死範圍或有好的側邊支撐的股骨頭可得到好的效果。 |
英文摘要 | Twenty-five patients (27 hips) were retrospectively studied for core decompression in treatment of osteonecrosis of the femoral heads at pre-collapse stage, Ficat and Alert stages Ⅰ and Ⅱ, from Apr. 1984 to Jun. 1998 with follow-up period at least 1 yr (mean 28 months). Eleven hips (10 patients) were considered to have failed due to progressive collapsed more than 2mm, severe pain or reoperation. We further analyzed the results with regard to the stages, the size of the necrotic area according to the Ohzono classification, the lateral head index (LHI) and the Kerboul combined necrotic angle. The survival rate according to the Ohzono classification was type 1B:100%, 1C:44%, 2:25%, and 3B:0%. Hips with Kerboul angle less than 250 ° revealed stisfactory results in all except one hip. All hips with Kerboul angle more than 250 ° collapsed. Fourteen of the 15 hips (93%) with lateral head index more than 20% did not collapse and all hips except one (7/8) with LHI less than 12% collapsed. We conclude core decompression yields satisfactory results in osteonecrotic femoral heads at pre-collapse stage and with small necrotic area or good lateral buttress. |
本系統中英文摘要資訊取自各篇刊載內容。