中国修复重建外科杂志

中国修复重建外科杂志

基于股骨头坏死围塌陷期理论的保髋术式总结

查看全文

目的 基于股骨头坏死(osteonecrosis of the femoral head,ONFH)的围塌陷期理论,总结各保髋术式。 方法 阐述围塌陷期理论的基本要点;广泛检索国内外相关文献,以围塌陷期理论为基础,分析各保髋术式的原理、疗效及发展趋势。 结果 ONFH 的保髋术式趋于注重力学修复,同时兼顾生物学修复,这与围塌陷期理论强调生物力学稳定对坏死修复的重要性一致。 结论 ONFH 围塌陷期理论对保髋手术时机选择具有指导意义,是保髋治疗的理论依据之一。

Objective To summarize surgical procedures of hip-preservation based on peri-collapse stage of osteonecrosis of the femoral head (ONFH). Methods The basic points of peri-collapse stage theory was expounded. The related literature on surgical procedures was summarized and analyzed based on the theory. Results Surgical procedures of hip-preservation tend to emphasize on mechanical repair, giving consideration to biological repair. It is consistent with the essence of peri-collapse stage theory, which attaches great importance to biomechanical stability. Conclusion Peri-collapse stage theory has a guiding significance to the choice of surgical timing and approach, and it is one of the important theoretical basis for hip-preservation treatment.

关键词: 股骨头坏死; 围塌陷期; 保髋手术

Key words: Osteonecrosis of the femoral head; Peri-collapse stage; Hip-preservation surgery

登录后 ,请手动点击刷新查看全文内容。 没有账号,
登录后 ,请手动点击刷新查看图表内容。 没有账号,
1. 欧志学, 贾晓军, 庞智晖, 等. 何伟教授治疗股骨头坏死塌陷前期经验介绍. 新中医, 2011, 43(5): 155-156.
2. Mont MA, Cherian JJ, Sierra RJ, et al. Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today? A Ten-Year Update. J Bone Joint Surg (Am), 2015, 97(19): 1604-1627.
3. Nam KW, Kim YL, Yoo JJ, et al. Fate of untreated asymptomatic osteonecrosis of the femoral head. J Bone Joint Surg (Am), 2008, 90(3): 477-484.
4. Zhang NF, Li ZR, Wei HY, et al. Steroid-induced osteonecrosis: the number of lesions is related to the dosage. J Bone Joint Surg (Br), 2008, 90(9): 1239-1243.
5. Nagasawa K, Tada Y, Koarada S, et al. Very early development of steroid-associated osteonecrosis of femoral head in systemic lupus erythematosus: prospective study by MRI. Lupus, 2005, 14(5): 385-390.
6. 何伟. 如何把握股骨头坏死患者的保髋治疗时机. 中国骨与关节杂志, 2016, 5(2): 82-86.
7. Joint Surgery Group of the Orthopaedic Branch of the Chinese Medical Association. Guideline for Diagnostic and Treatment of Osteonecrosis of the Femoral Head. Orthop Surg, 2015, 7(3): 200-207.
8. Etienne G, Mont MA, Ragland PS. The diagnosis and treatment of nontraumatic osteonecrosis of the femoral head. Instr Course Lect, 2004, 53: 67-85.
9. 崔永锋, 袁浩. 袁浩谈非创伤性股骨头坏死的现状和研究思路. 中国中医药信息杂志, 2006, 13(4): 87-89.
10. Lieberman JR, Berry DJ, Mont MA, et al. Osteonecros is of the hip: management in the 21st century. Instr Course Lect, 2003, 52: 337-355.
11. 李子荣. 骨坏死. 北京: 人民卫生出版社, 2012: 183-188.
12. 刘毓, 何伟. 何伟教授保髋治疗股骨头坏死塌陷晚期经验介绍. 新中医, 2010, 42(7): 135-137.
13. 贾晓军, 欧志学, 庞智晖, 等. 何伟教授对于股骨头坏死围塌陷期保髋的创新认识和经验总结. 中医正骨, 2011, 23(12): 956-958.
14. 陈雷雷, 张颖. 何伟教授采用中医药疗法治疗股骨头坏死的经验. 中医正骨, 2015, 27(10): 794-797.
15. 魏秋实, 何伟, 方斌, 等. 中医药治疗股骨头坏死的疗效评价及适应证的初步探索. 中华关节外科杂志(电子版), 2013, 7(3): 294-300.
16. 庞智晖, 欧志学, 魏秋实, 等. 辨塌论治在钽棒治疗早期股骨头坏死中的运用.中国中医骨伤科杂志, 2012, 20(1): 26-29.
17. 方斌, 何伟, 展磊, 等. 不同坏死范围下股骨头坏死区应力分布的有限元分析.中医正骨, 2012, 24(10): 10-15.
18. 陈雷雷. 股骨头坏死 ARCOⅢ期软骨病变研究及证型相关性分析. 广州: 广州中医药大学, 2012.
19. Ficat RP, Arlet J. Necrosis of the femoral head//Hungefford DS. Ischemia and necrosis of bone. Baltimore: Williams and ilkins, 1980: 53,74.
20. Lieberman JR. Core decompression for osteonecrosis of the hip. Clin Orthop Relat Res, 2004, (418): 29-33.
21. Ficat P, Grijalvo P. Long-term results of the forage-biopsy in grade I and II osteonecrosis of the femoral head. Apropos of 133 cases re-examined after an average time of 9 years 6 months. Rev Chir Orthop Reparatrice Appar Mot, 1984, 70(3): 253-255.
22. Kim SY, KimH, Park, et al. Multiple drilling compared with standard core decompression for the treatment of osteonecrosis of the femoral head. J Bone Joint Surg (Br), 2004, 86(Suppl II): 149.
23. Al Omran A. Multiple drilling compared with standard core decompression for avascular necrosis of the femoral head in sickle cell disease patients. Arch Orthop Trauma Surg, 2013, 133(5): 609-613.
24. Pierce TP, Jauregui JJ, Elmallah RK, et al. A current review of core decompression in the treatment of osteonecrosis of the femoral head. Curr Rev Musculoskelet Med, 2015, 8(3): 228-232.
25. Ficat RP. Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg (Br), 1985, 67(1): 3-9.
26. Hernigou P, Beaujean F, Lambotte JC. Decrease in the mesenchymal stem-cell pool in the proximal femur in corticosteroid-induced osteonecrosis. J Bone Joint Surg (Br), 1999, 81(2): 349-355.
27. Hernigou P, Beaujean F. Bone marrow activity in the upper femoral extremity in avascular osteonecrosis. Rev Rhum Engl Ed, 1993, 60(1): 610.
28. Philippe H, Françoise B. Treatment of osteonecrosis with autologous bone marrow grafting. Clin Orthop Relat Res, 2002, (405): 14-23.
29. Zhao D, Cui D, Wang B, et al. Treatment of early stage osteonecrosis of the femoral head with autologous implantation of bone marrow-derived and cultured mesenchymal stem cells. Bone, 2012, 50(1): 325-330.
30. 孙伟, 李子荣, 王佰亮, 等. 髓芯减压加自体骨髓干细胞移植治疗股骨头坏死的早期随访结果. 中国组织工程研究与临床康复, 2008, 12(12): 2231-2234.
31. Sugioka Y, Hotokebuchi T, Tsutsui H. Transtrochanteric anterior rotational osteotomy for idiopathic and steroid-induced necrosis of the femoral head. Indications and long-term results. Clin Orthop Relat Res, 1992, (277): 111-120.
32. 张念非, 李子荣, 杨连发, 等. 经股骨粗隆部旋转截骨术治疗股骨头坏死. 中华外科杂志, 2004, 42(24): 1477-1480.
33. Sonoda K, Yamamoto T, Motomura G, et al. Outcome of transtrochanteric rotational osteotomy for posttraumatic osteonecrosis of the femoral head with a mean follow-up of 12.3 years. Arch Orthop Trauma Surg, 2015, 135(9): 1257-1263.
34. Chotai P, Shon WY, Suh DH, et al. Femoral head stress fracture: an unknown complication following Sugioka's transtrochanteric rotational osteotomy. Orthopedics, 2011, 34(3): 221.
35. Hisatome T, Yasunaga Y, Takahashi K, et al. Progressive collapse of transposed necrotic area after transtrochanteric rotational osteotomy for osteonecrosis of the femoral head induces osteoarthritic change. Mid-term results of transtrochanteric rotational osteotomy for osteonecrosis of the femoral head. Arch Orthop Trauma Surg, 2004, 124(2): 77-81.
36. Hiranuma Y, Atsumi T, Kajiwara T, et al. Evaluation of instability after transtrochanteric anterior rotational osteotomy for nontraumatic osteonecrosis of the femoral head. J Orthop Sci, 2009, 14(5): 535-542.
37. Kawasaki M, Hasegawa Y, Sakano S, et al. Total hip arthroplasty after failed transtrochanteric rotational osteotomy for avascular necrosis of the femoral head. J Arthroplasty, 2005, 20(5): 574-579.
38. Park KS, Tumin M, Peni I, et al. Conversion total hip arthroplasty after previous transtrochanteric rotational osteotomy for osteonecrosis of the femoral head. J Arthroplasty, 2014, 29(4): 813-816.
39. 赵德伟. 股骨头缺血性坏死的修复与再造. 3 版. 北京: 人民卫生出版社, 2013: 10.
40. Poul T, Sandor G, Oleg A, et al. Bone Grafts in Hip Sourgery//Daniel JB, Jay RL. Surgery of the Hip. [出版地]: Elsevier Medicine, 2013: 189-194.
41. 何伟, 李勇, 张庆文, 等. 蛙式侧位分型在植骨支撑术治疗酒精性股骨头坏死中的意义. 中华关节外科杂志(电子版), 2011, 5(1): 27-33.
42. Wang BL, Sun W, Shi ZC, et al. Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction grafting through a femoral neck window. Int Orthop, 2010, 34(5): 635-639.
43. Rosenwasser MP, Garino JP, Kiernan HA, et al. Long-term follow up of thorough debridement and cancellous bone grafting for osteonecrosis of the femoral head. Clin Orthop Relat Res, 1994, (306): 17-27.
44. Sun W, Li Z, Gao F, et al. Recombinant human bone morphogenetic protein-2 in debridement and impacted bone graft for the treatment of femoral head osteonecrosis. PLoS One, 2014, 9(6): e100424.
45. Zhou G, Zhang Y, Zeng L, et al. Should thorough Debridement be used in Fibular Allograft with impaction bone grafting to treat Femoral Head Necrosis: a biomechanical evaluation. BMC Musculoskelet Disord, 2015, 16: 140.
46. 何伟. 整体观念在股骨头坏死诊断与治疗中的应用. 江苏中医药, 2008, 40(5): 1-2.
47. 何伟, 李勇, 张庆文, 等. 自体或同种异体腓骨联合打压植骨治疗股骨头坏死的初步研究. 中国修复重建外科杂志, 2009, 23(5): 530-533.
48. Ganz R, Gill TJ, Gautier E, et al. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg (Br), 2001, 83(8): 1119-1124.
49. Cohen R. A porous tantalum trabecular metal: basic science. Am J Orthop (Belle Mead NJ), 2002, 31(4): 216-217.
50. Pedersen DR, Brown TD, Poggie RA. Finite element characterization of a porous tantalum material for treatment of avascular necrosis. Trans Orthop Res Soc, 1997, 22: 598.
51. Tsao AK, Roberson JR, Christie MJ, et al. Biomechanical and clinical evaluations of a porous tantalum implant for the treatment of early-stage osteonecrosis. J Bone Joint Surg (Am), 2005, 87 Suppl 2: 22-27.
52. Liu ZH, Guo WS, Li ZR, et al. Porous tantalum rods for treating osteonecrosis of the femoral head. Genet Mol Res, 2014, 13(4): 8342-8352.
53. Buckley PD, Gearen PF, Petty RW. Structural bone-grafting for early atraumatic avascular necrosis of the femoral head. J Bone Joint Surg (Am), 1991, 73(9): 1357-1364.
54. Ma J, Sun W, Gao F, et al. Porous Tantalum Implant in Treating Osteonecrosis of the Femoral Head: Still a Viable Option? Sci Rep, 2016, 6: 28227.
55. Tanzer M, Bobyn JD, Krygier JJ, et al. Histopathologic retrieval analysis of clinically failed porous tantalum osteonecrosis implants. J Bone Joint Surg (Am), 2008, 90(6): 1282-1289.
56. Zhang Y, Xu J, Ruan YC, et al. Implant-derived magnesium induces local neuronal production of CGRP to improve bone-fracture healing in rats. Nat Med, 2016, 22(10): 1160-1169.
57. Zhao D, Huang S, Lu F, et al. Vascularized bone grafting fixed by biodegradable magnesium screw for treating osteonecrosis of the femoral head. Biomaterials, 2016, 81: 84-92.
58. Zhao D, Cui D, Lu F, et al. Combined vascularized iliac and greater trochanter graftings for reconstruction of the osteonecrosis femoral head with collapse: reports of three cases with 20 years follow-up. Microsurgery, 2012, 32(7): 546-551.
59. Judet H, Judet J, Gilbert A, et al. Treatment of idiopathic necrosis of the femoral head by a vascularized fibular graft. Evaluation after 7 years experience. Chirurgie, 1986, 112(9): 699-702.
60. Judet H, Gilbert A. Long-term results of free vascularized fibular grafting for femoral head necrosis. Clin Orthop Relat Res, 2001, (386): 114-119.
61. Eward WC, Rineer CA, Urbaniak JR, et al. The vascularized fibular graft in precollapse osteonecrosis: is long-term hip preservation possible? Clin Orthop Relat Res, 2012, 470(10): 2819-2826.
62. Yin S, Zhang C, Jin D, et al. Treatment of osteonecrosis of the femoral head in lymphoma patients by free vascularised fibular grafting. Int Orthop, 2011, 35(8): 1125-1130.
63. Tetik C, Başar H, Bezer M, et al. Comparison of early results of vascularized and non-vascularized fibular grafting in the treatment of osteonecrosis of the femoral head. Acta Orthop Traumatol Turc, 2011, 45(5): 326-334.
64. Zhao D, Wang B, Guo L, et al. Will a vascularized greater trochanter graft preserve the necrotic femoral head? Clin Orthop Relat Res, 2010, 468(5): 1316-1324.
65. Zeng YR, He S, Feng WJ, et al. Vascularised greater trochanter bone graft, combined free iliac flap and impaction bone grafting for osteonecrosis of the femoral head. Int Orthop, 2013, 37(3): 391-398.
66. Chen CC, Lin CL, Chen WC, et al. Vascularized iliac bone-grafting for osteonecrosis with segmental collapse of the femoral head. J Bone Joint Surg (Am), 2009, 91(10): 2390-2394.