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題名 | Core Decompression and Bone Substrate Grafting in a Young Patient with Femoral Head Avascular Necrosis: A Case Report=減壓及人工骨植入應用於年輕女性之股骨頭缺血性壞死之治療--病例報告 |
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作者 | 尤俊衛; 沈博文; 梁福民; 鄭正文; | 書刊名 | 輔仁醫學期刊 |
卷期 | 6:1 2008.03[民97.03] |
頁次 | 頁39-45 |
分類號 | 416.26 |
關鍵詞 | 股骨頭缺血性壞死; 減壓; 人工骨; Femoral head avascular necrosis; Core decompression; Bone substrate; |
語文 | 英文(English) |
中文摘要 | 一位十六歲病患因左髖部疼痛及跛行六個月被診斷為缺血性壞死。放射性檢查顯示左股骨頭缺血性壞死及囊泡形成,核磁共振掃描顯示左股骨頭塌陷,診斷為第三期股骨頭缺血性壞死。在放射線引導下,我們為此病患進行左股骨頭減壓及人工骨植入手術,術後限制病人負重活動及使用柺杖三個月。病人每個月回門診追蹤病人,於六個月後恢復日常活動。放射性檢查顯示左股骨頭缺血性壞死區域產生新骨,核磁共振掃描顯示左股骨頭壞死區域水腫減少及有血管增生,沒有發現進一步的股骨頭塌陷。 |
英文摘要 | A 16-year-old female patient suffering from left hip pain and limping for 6 months was diagnosed with avascular necrosis of the left hip. An x-ray revealed left femoral head avascular necrosis (AVN) with cystic formation. A magnetic resonance image (MRI) showed femoral head collapse. Stage III AVN was the diagnosis. After admission, core decompression combined with a bone graft (Allomatrix) was performed under fluoroscopy. The postoperative care of this patient included restricted weight bearing and use of crutches for 3 months. She received monthly outpatient department follow-up. Her daily activities and ambulation were almost back to normal after 6 months. An x-ray revealed new bone formation over the superior region of the femoral head at 6 months of follow-up. An MRI showed less edema, increased vascularity throughout the previously necrotic region, and no further subchondral bone collapse. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。