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Comparison of the Clinic Results of Osteonecrosis of the Femoral Head Treated by Muscle-pedicle Bone Grafting Using Tensor Fascia Lata and Satorius Muscle

Author: DaiZhangSheng
Tutor: LinQiRen
School: Fujian Medical
Course: Surgery
Keywords: osteonecrosis of the femoral head tensor fascia lata satorius muscle muscle-pedicle bone grafting
CLC: R687.3
Type: Master's thesis
Year: 2008
Downloads: 43
Quote: 0
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Abstract


Objective: To compare the clinic outcomes of osteonecrosis of the femoral head (ONFH) by muscle-pedicle bone grafting using tensor fascia lata and satorius muscle.Methods: Between January, 1996 and December, 2004, seventy-nine patients with ONFH were treated by muscle-pedicle bone grafting using tensor fascia lata (41 hips in 41 patients) and satorius muscle (38 hips in 38 patients). The clinical results were scored by Harris scoring system.Results: Duration of follow-up arranged from 2.5 years to 11 years. The preoperative Harris scores were 47.39±7.35 and postoperatively they were raised up to 75.36±9.10 (P<0.05) in the group treated by muscle-pedicle bone grafting using tensor fascia lata. The preoperative Harris scores were 47.37±7.63 and postoperatively they were 67.37±9. 01 (P<0. 05) in the group treated by muscle-pedicle bone grafting using satorius muscle. Postoperative Harris scores between two group have statistical significance (P<0. 05).Conclusions: Good to excellent clinical outcomes could be obtained in young/middle-aged patients with ONFH (Ficat IIA, IIB and III) treated by muscle-pedicle bone grafting using tensor fascia lata or satorius muscle. The group treated by muscle-pedicle bone grafting using tensor fascia lata has better clinical outcomes that the group.

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CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Orthopedic surgery and surgery > Bone surgery
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