成人股骨头坏死保头保髋关键技术 -——股骨头前外侧柱识别与重建
罗殿中
张洪
程徽
李勇
张振东
张建立
任宁涛
100048 北京,中国人民解放军总医院第四医学中心骨科医学部
摘要：Along with efforts and development for half century,we come to a new era in the prevention and treatment of femoral head necrosis(FHN).At present,early femoral head necrosis is more easily detected with the economic development,improvement of living standards,updating and popularizing of medical equipment,and contributions of former orthopedic experts.The authors brought up that the key point of hip preservation to femoral head necrosis was to recognize and reconstruct the anterolateral column of the femoral head.There are several effective methods to reconstruct anterolateral column of the femoral head,including basicervical femoral neck rotational osteotomy(BCFNRO or BCRO),intertrochanteric varus osteotomy(ITVO),intertrochanteric rotational osteotomy(TRO),iliac bone support autograft(IBSG)to anterolateral column of the femoral head via surgical hip dislocation(SHD),etc.The tasks in clinical practice on FHN include early detection of the FHN,exact assessment of the collapse risk,effective follow-up and personalized treatment on time based on precise stage and type.Furthermore,pathological mechanism,penetrated molecular biology research,accurate biomechanics analysis,damage and repair of the cartilage of FHN,and artificial intelligence(AI)should be carried out soon.
关键词：股骨头坏死分期分型保髋
分类号：R684(骨科学（运动系疾病、矫形外科学）)
论文发表日期：2024-10-19
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 769-773 )
英文信息