頁籤選單縮合
題名 | Idiopathic Avascular Necrosis of the Femoral Head Treated with Fibular Bone-Grafting (Phemister Technique)=以腓皮質骨移植術(Phemister手術法)治療原發性股骨頭壞死之臨床報告 |
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作者 | 施信農; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 18:3 1985.09[民74.09] |
頁次 | 頁268-277 |
分類號 | 416.26 |
關鍵詞 | 腓皮質骨移植術; Phemister手術法; 原發性股骨頭壞死; |
語文 | 英文(English) |
中文摘要 | 治療原發性股骨頭擅死,依程度之嚴重性而有不同之手術治療方法,至於其結果亦各有不同。 長庚醫院自1980年4月至1983年9月對於罹患原發性股骨頭壞死之患者施行鑽孔減壓以及腓皮質骨移植術(Phemister式手術法)共計11例;其中男性8例,女性3例。術前除股骨頭缺血性壞死以外,並無其他不正常之檢查發現。手術年齡最年輕者是24歲,最年長者是60歲(平均年齡41.75歲)。股骨頭壞死之程度依Marcus式分類:有2例是stage II,有8例是stage III,有1例是stage IV,同時兩側髖關節侵犯者有8例。追踪檢查時間最短的是13個月,最長的是42個月(平均24個月)。 治療的結果分析顯示:滿意結果的有5例(佔62.5%);滿意的情況是在X-光檢查沒有進行性的股骨頭壞死或崩潰以及臨床症狀緩解。失敗結果的有3例,失敗的主因是:1.手術的時機太遲。2.移植骨未達到正確與理想的位置。3.術後未有適當時期的不著力行走。 |
英文摘要 | Drilling with fibular cortical bone-grafting (Phemister Technique) was performed on eleven patients, who suffered from idiopathic avascular necrosis of the femoral head (IAN). The procedure was undertaken at Chang Gung Memorial Hospital from April 1980 to September 1983 on eight males and three females. The average age was 41.75 years (range 24-60 years). Two were in stage II; eight, in stage III; and one, stage IV. Eight cases showed bilateral hip involvement. Preoperative evaluation showed no associated disorders. The average follow-up period was 24 months, ranging from 13 to 42 months. Three patients were lost to follow-up. The final results were judged satisfactory in five cases (62.5%) and unsatisfactory in three cases (37.5%). The unsatisfactory results in the series can be attributed poor initial indication for the operation, inaccurate graft placement, and inadequate non-weight bearing period post-operatively. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。