CAJ | 학술논문

目的：总结近4年来106例（114髋）髋关节囊减压联合同种异体骨打压植骨治疗非创伤缺血性股骨头坏死患者的临床资料，对其疗效进行评价。方法2009年8月至2013年8月，对106例（114髋）ARCO II-A、II-B、II-C、III-A期非塌陷性股骨头坏死的治疗应用了髋关节囊切开减压、髓芯减压、病灶刮除、同种异体松质骨打压植骨术。结果随访1.5~4年，按Harris标准其优良率为81.5%。Harris评分由术前平均60分增加到术后4年时的平均88分。结论髋关节囊切开联合髓芯减压、病灶刮除、同种异体松质骨打压植骨术治疗早中期缺血性股骨头坏死具有良好的疗效，为保股骨头治疗提供一种微创手段。
목적：총결근4년래106례（114관）관관절낭감압연합동충이체골타압식골치료비창상결혈성고골두배사환자적림상자료，대기료효진행평개。방법2009년8월지2013년8월，대106례（114관）ARCO II-A、II-B、II-C、III-A기비탑함성고골두배사적치료응용료관관절낭절개감압、수심감압、병조괄제、동충이체송질골타압식골술。결과수방1.5~4년，안Harris표준기우량솔위81.5%。Harris평분유술전평균60분증가도술후4년시적평균88분。결론관관절낭절개연합수심감압、병조괄제、동충이체송질골타압식골술치료조중기결혈성고골두배사구유량호적료효，위보고골두치료제공일충미창수단。
Objective To investigate the clinical value of Joint capsule and core decompression combined with allograft tamp operation on nontraumatic osteonecrosis of femoral head. Methods Joint capsule and core decompression combined with allograft tamp were performed in 106 patients(114 hip)of osteonecrosis of femoral head in ARCO IIA,IIB,IIC and IIIA stage from Au-gust 2009 to August 2013. Results Following-up period extended from 1. 5 to 4 years. According to the criteria of Harris,good and excellent rate was 81. 5%. The average score by Harris scale was raised to 88 points postoperatively from 61 points preopera-tively. Conclusion Joint capsule and core decompression combined with allograft tamp operation is one kind of minimally inva-sive surgery,and has a good curative effect on early stage of osteonecrosis of femoral head.