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目的 为儿童股骨头缺血性坏死提供一种新的治疗方法。 方法 采用带旋股内侧血管深支为蒂的股骨大转子后部骨膜瓣植入和骨骺部开窗为主的综合术式进行治疗。 结果 7年来共施行手术 42例 ,经系统随访 1年以上者 37例 ,平均随访时间为 3年 6个月 ,优良率达 86 %。 结论 该手术能达到有效减压和提供充分的血液循环以及各种成骨因素 ,适用于 Catterall各期病例的修复
Objective To provide a new treatment for children with avascular necrosis of the femoral head. Methods The pedicled giant rotator pedicled pedicled peroneal pedicle flap pedicled with the medial branch of the medial femoral circumflex artery and the femoral epiphyseal fenestration were mainly used for the treatment. Results In the past 7 years, 42 patients underwent surgery, with a follow-up of more than one year in 37 cases. The average follow-up time was 3 years and 6 months. The excellent and good rate was 86%. Conclusions This procedure achieves effective decompression and provides adequate blood circulation as well as various osteogenic factors for the repair of various Catterall cases