2012 02 v.5 188-195
成人股骨头坏死诊疗标准专家共识(2012年版)
基金项目(Foundation):
邮箱(Email):
DOI:
中文作者单位:
中华医学会骨科分会显微修复学组;中国修复重建外科专业委员会骨缺损及骨坏死学组;
摘要(Abstract):
背景股骨头坏死(osteonecrosis of the femoral head,ONFH),又称股骨头缺血性坏死(avascular necrosis of the femoral head,AVNFH)是骨科常见病。2006年中华医学会骨科学分会关节外科学组和《中华骨科杂志》编辑部组织国内骨坏死专家拟订了《股骨头坏死诊断与治疗的专家建议》,一定程度上规范了股骨头坏死诊断、治疗及评定方法。2012年3月中华医学会骨科分会显微修复学组及中国修复重建外科专业委员会骨缺损及骨坏死学组组织相关专业专家对《股骨头坏死诊断与治疗的专家建议》进行了讨论、修改和补充,推出《成人股骨头坏死诊疗标准专家共识(2012年版)》。
关键词(KeyWords):
| 3,581 | 204 | 84 |
| 下载次数 | 被引频次 | 阅读次数 |
参考文献
[1]Etienne G,Mont MA,Ragland PS.The diagnosis and treatment of nontraumatic osteonecrosis of the femoral head.Instr Course Lect,2004,53∶67-85.
[2]Mont MA,Jones LC,Hungerford DS.Nontraumatic Osteonecrosis of the Femoral Head:Ten Years Later.J Bone Joint Surg Am,2006,88(5)∶1117-32.
[3]Sugano N,Kubo T,Takaoka K,et al.Diagnostic criteria for non-traumatic osteonecrosis of the femoral head.A multicentre study.J Bone Joint Surg Br,1999,81(4)∶590-5.
[4]Soohoo NF,Vyas RM,Samimi DB,et al.Comparison of the responsiveness of the SF-36and WOMAC in patients undergoing totalhip arthroplasty.J Arthroplasty,2007,22∶1168-1173.
[5]Harris WH.Traumatic arthritis of the hip after dislocation and acetabular fractures:treatment by mold arthroplasty.An end-result study using a new method of result evaluation.J Bone Joint Surg,1969,51∶737-755.
[6]Gardeniers JW.ARCO intronational stage of osteonecrosis.ARCO Newsletter,1993,5∶79-82.
[7]Steinberg ME,Brighton CT,Corces A,et al.Osteonecrosis of the femoral head.Results of core decompression and grafting with and without electrical stimulation.Clin Orthop Relat Res,1989,(249)∶199-208.
[8]Ficat RP.Idiopathic bone necrosis of the femoral head.Early diagnosis and treatment.J Bone Joint Surg Br,1985,67(1)∶3-9.
[9]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)∶325-30.
[10]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 with20Years Follow-up.Microsurgery.
[11]Zhao D,Xie H.Vascularized the greater trochanter grafting treatment cysts of the femoral neck.Medical Hypotheses.
[12]Cui X,Zhao D,Zhang B,et al.Osteogenesis mechanism of chitosan-coated calcium sulfate pellets on the restoration of segmental bone defects.J Craniofac Surg,2009,20(5)∶1445-50.
[13]Wang Z,Zhao D,Wang W,et al.A wireless medical information query system based on Unstructured Supplementary Service Data(USSD).Telemed J E Health,2008,14(5)∶454-60.
[14]Zhao D,Wang B,Guo L,et al.Will a vascularized greater trochanter graft preserve the necroticfemoral head?Clin Orthop Relat Res,2010,468(5)∶1316-24.
[15]Zhao D,Xu D,Wang W,et al.Iliac graft vascularization forfemoral headosteonecrosis.Clin Orthop Relat Res,2006,442∶171-9.
[16]Zhao De-wei,Sun Qiang,Wang Benjie,et al.Free iliac crest grafts with periosteum for treatment of old acetabular defects.Chinese Journal of Traumatology,2006,9(6)∶338-340.
[17]Fan M,Wang Y.Emu model of full-range femoral head osteonecrosis induced focally by an alternating freezing and heating insult.J Int Med Res,2011,39(1)∶187-98.
[18]Peng J,Wen C,Wang A,et al.Micro-CT-based bone ceramic scaffolding and its performance after seeding with mesenchymal stem cells for repair of load-bearing bone defect in canine femoral head.J Biomed Mater Res B Appl Biomater,2011,96(2)∶316-25.
[19]Wang Y,Chai W.Superelastic cage implantation:a new technique for treating osteonecrosis of the femoral head with mid-term follow-ups.J Arthroplasty,2009,24(7)∶1006-14.
[20]Wang Yisheng,Zhang Yi,LI Junwei,et al.A modified technique of bone grafting pedicled with femoral quadratus for alcohol-induced osteonecrosis of the femoral head.Chin Med J,2010,123(20)∶2847-2852.
[21]Wang BL,Sun W,Li ZR,et al.Treatment of nontraumatic osteonecrosis of the femoral head with the implantation of core decompression and concentrated autologous bone marrow containing mononuclear cells.Arch Orthop Trauma Surg,2010,130(7)∶859-865.
[22]Wang BL,Sun W,Li ZR.et al.Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction graftingthrough a femoral neck window.Int Orthop,2010,34(5)∶635-9.
[23]Li Z,Shi Z,Guo W,et al.Preliminary experiences in minimally invasive and mini-incision surgery total hip arthroplasty for late osteonecrosis of the femoral head.Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi,2005,19(9)∶710-3.
[24]Kang P,Pei F.Repairing defect and preventing collapse of caninefemoral headusing titanium implant enhanced by autogenous bone graft and rhBMP-2.
[25]Wang Y,Yin L,Li Y,et al.Preventive effects of puerarin on alcohol-induced osteonecrosis.Clin Orthop Relat Res,2008,466(5)∶1059-67.
[26]Wang Y,Li Y,Mao K,et al.Alcohol-induced adipogenesis in bone and marrow:a possible mechanism for osteonecrosis.Clin Orthop Relat Res,2003,(410)∶213-24.
[27]He W,Li K.Incidence of genetic polymorphisms involved in lipid metabolism among Chinese patients with osteonecrosis of thefemoral head.Acta Orthop,2009,80(3)∶325-9.
[28]He W,Xu C,Fan Y,et al.Effects of the Chinese drugs for activating blood circulation on plasma TXB2and6-keto-PGF1alpha contents in rabbits with glucocorticoid-inducedfemoral headnecrosis.J Tradit Chin Med,2004,24(3)∶233-7.
[29]Liu G,Wang J,et al.Effect of a porous tantalum rod on early and intermediate stages of necrosis of thefemoral head.Biomed Mater,2010,5(6)∶065003.
[30]Yang S,Wu X,Xu W,et al.Structural augmentation with biomaterial-loaded allograft threaded cage for the treatment offemoral headosteonecrosis.J Arthroplasty,2010,25(8)∶1223-30.
[31]Wang B,Yang S,Shao Z,et al.Functionalized self-assembling peptide nanofiber hydrogel as a scaffold for rabbit nucleus pulposus cells.J Biomed Mater Res A,2012,100(3)∶646-653.
[32]Wang Z,Yang S,Zhang X,et al.BON1interacts with the protein kinases BIR1and BAK1in modulation of temperature-dependent plant growth and cell death in Arabidopsis.Plant J,2011,67(6)∶1081-1093.
[33]Li Y,Wang K,Zhang Z,et al.The experimental study on treatment of glucocorticoid-induced ischemic necrosis offemoral headby gu fu sheng capsule.J Tradit Chin Med,2004,24(4)∶303-7.
[34]Li X,Wang K,Chen J,et al.Significance of nitric oxide on the pathogenesis of steroid inducedfemoral headnecrosis.Chin J Traumatol,2000,3(1)∶62-63.
[35]Qi B,Yu A,Zhang G,et al.The treatment of displacedfemoralneck fractures with vascularized great trochanter periosteal flap transposition in children.Microsurgery.2008;28(1)∶21-24.
[36]Sun Y,Feng Y,Zhang C,et al.Beneficial effect of autologous transplantation of endothelial progenitor cells on steroid-inducedfemoral headosteonecrosis in rabbits.Cell Transplant,2011,20(2)∶233-43.
[37]Yin S,Zhang C,et al.Treatment of osteonecrosis of thefemoral headin lymphoma patients by free vascularised fibular grafting.Int Orthop,2011,35(8)∶1125-30.
[38]Zhang C,Zeng B,Jin D,et al.Treatment offemoral headnecrosis with free vascularized fibula grafting:a preliminary report.Microsurgery,2005,25(4)∶305-9.
[39]Sara McConnell,Pamela Kolopack,Aileen M.Davis.The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)∶a review of its utility and measurement properties.Arthritis Care&Research,2001,45(5)∶453-461.
[40]Qin L,Zhang G,Sheng H,et al.Multiple bioimaging modalities in evaluation of an experimental osteonecrosis induced by a combination of Lippolysaccharide and Methylprednisolone.Bone,2006,39(4)∶863-871.
[41]Sheng H,Zhan G,Wang YX,et al.Functional perfusion MRI predicts later occurrence of steroid-associated osteonecrosis:An experiment study in rabbits.J Orthop Res,2009,27∶742-747.
[42]Zhang G,Qin L,Sheng H,et al.A novel semisynthesized small molecule icaritin reduces incidence of steroid-associated osteonecrosis with inhibition of both thrombosis and lipid-deposition in a dose-dependent manner.Bone,2009,44(2)∶345-56.
[43]Xie XH,Wang XL,Zhang G,et al.Impaired bone healing in rabbits with steroid-associated osteonecrosis.J Bone Joint Surg Br,2011,93(4)∶558-65.
[44]Xie XH,Wang XL,He YX,et al.Promoted repair of steroid-associated osteonecrosis by implantation of cryopreserved bone marrow mononuclear cells in a rabbit model.Arthritis Rheum,2012,doi:10.1002/art.33471.
[45]张鹤山,李子荣.股骨头坏死诊断与治疗的专家建议.中华骨科杂志,2007,27(2)∶146-148.
[46]赵德伟.股骨头缺血性坏死保留股骨头治疗的新方法与选择.中华医学杂志,2011,91(47)∶3313-3315.
[47]李静东,赵德伟,崔大平,等.成人酒精性股骨头缺血性坏死病理与MRI影像学对坏死程度的定量分析.中国骨与关节损伤杂志,2011,26(8)∶689-691.
[48]赵德伟.带血管蒂骨瓣移植治疗股骨头坏死的经验与技巧.中华显微外科杂志,2009,32(4)∶265-266.
[49]王本杰,赵德伟,郭林.单纯带血管蒂骨瓣转移与联合钽棒植入治疗股骨头缺血性坏死的比较研究.中华显微外科杂志,2009,32(4)∶271-274.
[50]赵德伟,崔大平.全髋关节置换手术前后三维步态分析.中华外科杂志,2009,47(2)∶132-135.
[51]赵德伟,崔大平,郭林,等.关节镜下髓芯减压基因转染骨髓间质干细胞修复兔股骨头缺血性坏死,中华骨科杂志,2008,28(11),945-948.
[52]赵德伟.股骨头缺血性坏死.中华骨科杂志,2008,28(3)∶258-264.
[53]赵德伟,崔大平,郭林,等.关节镜下自体干细胞体外培养回植治疗早期股骨头缺血性坏死的临床研究.中华显微外科杂志,2008,31(1)∶20-22.
[54]赵德伟.股骨头缺血性坏死微创及显微外科治疗进展.中华显微外科杂志,2008,31(1)∶7-8.
[55]赵德伟.应认真做好股骨头缺血性坏死修复治疗的术后功能评价.中华医学杂志,2007,87(41)∶2881-2993.
[56]赵德伟,王本杰.微创带血管蒂骨瓣转移术在股骨头缺血性坏死中的应用.中华医学杂志,2007,87(29)∶2036-2040.
[57]赵德伟,王卫明,王本杰等.股骨头坏死显微外科手术治疗失败病例的人工全髋关节置换.中华显微外科杂志,2006,29(3)∶174-177.
[58]赵德伟,王卫明,王本杰等.带双血管蒂大转子骨瓣转移治疗股骨头缺血性坏死.中华显微外科杂志,2006,29(3)∶167-169.
[59]赵德伟.股骨头缺血性坏死修复与重建的意义.中华显微外科杂志,2006,29(3)∶165-166.
[60]崔大平,赵德伟.干细胞体外培养关节镜下髓芯减压回植治疗早期股骨头坏死的实验研究.中华医学杂志,2009,89(5)∶338-341.
[61]赵德伟.带血管蒂骨瓣移植治疗股骨头坏死的经验与技巧.中华显微外科杂志,2009,32(4)∶265-266.
[62]赵德伟,徐达传,崔旭.股骨头不同区域囊变对力学承载的影响.中华骨科杂志,2005,25(4)∶232-235.
[63]赵德伟,徐达传,马岩,等.旋股外侧血管升支臀中肌支大转子骨瓣转移的应用解剖.中华显微外科杂志,2004,27(2)∶129-131.
[64]李子荣.准确诊断、合理治疗股骨头坏死.中华全科医师杂志,2006,5(2)∶69-71.
[65]李子荣,张念非,史振才,等.股骨头坏死塌陷的预测与治疗方法的选择.中华骨科杂志,2003,23(4)∶193-196.
[66]李子荣.类似股骨头坏死的髋关节疾病的鉴别诊断.中华骨科杂志,2010,30(10)∶1011-1015.
[67]张念非,李子荣,张雪哲,等.股骨头髓芯减压带旋髂深血管蒂髂骨骨瓣植骨治疗股骨头缺血性坏死.中华外科杂志,2003,41(2)∶125-128.
[68]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.
[69]李子荣.股骨头坏死治疗方法选择的病理学基础.中华医学杂志,2007,87(29)∶2021-2022.
[70]康鹏德,裴福兴,王坤正.股骨头坏死的研究和治疗进展.中国骨与关节损伤杂志,2005,20(1)∶65-68.
[71]田雷,王坤正,党晓谦,等.阿魏酸钠对兔激素性股骨头坏死早期的干预作用及对骨细胞.西安交通大学学报(医学版),2011,32(2)∶220-226.
[72]王伟,王坤正,刘利英,等.激素性股骨头坏死股骨头内PPARγ及BMP2的动态表达.中华骨科杂志,2008,28(4)∶327-332.
[73]王建忠,王坤正,时志斌,等.激素性股骨头坏死患者股骨头骨组织骨保护素NF-κB受体活化因子配基mRNA表达.中国修复重建外科杂志,2008,22(10)∶1161-1164.
[74]熊明月,王坤正,党晓谦.早期激素性股骨头坏死骨细胞凋亡的实验研究.中国修复重建外科杂志,2007,21(3)∶262-265.
[75]杨述华.不同方法延迟关节置换治疗股骨头坏死比较观察.中国矫形外科杂志,2008,16(8)∶602-605.
[76]张劲松,杨述华,徐伟华,等.多孔钽棒植入微创治疗早期股骨头坏死的近期疗效.中国骨肿瘤骨病,2011,10(2)∶155-158.
[77]许伟华,杨述华,冯勇,等.多孔钽棒植入治疗股骨头坏死的适应证及临床疗效观察.中国骨与关节外科,2010,3(1)∶28-32.
[78]傅德皓,杨述华.股骨头坏死的分类及评价体系.中华外科杂志.2009,47(8)∶628-631.
[79]夏天,杨述华.钽棒支撑用于股骨头坏死研究概况.国际骨科学杂志,2010,31(1)∶5-7.
[80]杨述华,许伟华,叶树楠,等.异体螺纹骨笼结合自体松质骨支撑治疗早期股骨头坏死的临床疗效.中国骨与关节外科,2009,2(2)∶95-99.
[81]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.
[82]何伟,陈镇秋,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.
[83]徐传毅,何伟,方斌,等.生脉成骨方对股骨头坏死Ⅰ型胶原表达的调节作用研究.现代中西医结合杂志,2003,12(6)∶574-576.
[84]张铭杰,何伟.骨髓间充质干细胞在股骨头坏死治疗中的应用进展.实用骨科杂志,2011,17(5)∶434-440.
[85]庞智晖,何伟,张庆文,等.改良减压植骨内稳定术治疗围塌陷期激素性股骨头坏死.广东医学,2009,30(7)∶1071-1073.
[86]何伟,曾勤,张庆文,等.非创伤性股骨头坏死骨髓水肿与疼痛分级及坏死分期相关性的研究.中国修复重建外科杂志,2008,22(3)∶229-302.
[87]陈镇秋,何伟,张庆文,等.打压支撑植骨术治疗早期酒精性股骨头坏死的临床研究.中华骨科杂志,2010,30(1)∶42-47.
[88]罗月中,李芸,何伟,等.补肾健骨法预防肾病综合征患者激素性股骨头坏死临床研究.中医正骨,2011,23(1)∶3-6.
[89]陈圣宝,张长青,曾炳芳,等.影响吻合血管腓骨移植治疗股骨头坏死疗效的相关因素分析.中华显微外科杂志,2009,32(4)∶267-270.
[90]艾自胜,余金明,张长青,等.统计学方法在股骨头坏死随访疗效分析中的应用.同济大学学报(医学版),2007,28(5)∶98-101.
[91]尹思,张长青.股骨头坏死与基因遗传多态性.国际骨科学杂志,2010,31(3)∶178-180,189.
[92]张长青,曾炳芳,张开刚,等.改良吻合血管游离腓骨移植术治疗股骨头坏死.中华全科医师杂志,2006,5(2)∶84-86.
[93]刘晓琳,盛加根,张长青,等.单侧供体吻合血管腓骨移植治疗双侧股骨头坏死应用解剖学研究.国际骨科学杂志,2011,32(3)∶189-191,201.
[94]陈圣宝,张长青,金余明,等.成人缺血性股骨头坏死影像学特征分析.中华关节外科杂志(电子版),2008,2(1)∶17-23.
[95]刘斌,宋卫卫,赵德伟,等.基于剔除拟合的股骨头修复建模.东南大学学报(自然科学版),2008,38(1)∶58-63.
[96]周勇刚,王岩,李静东,等.同期双侧全髋置换术的临床报告.解放军医学杂志,2004,29(12)∶45-47.
[97]刘玉杰,王岩,李众利,等.髋关节镜清理小直径多孔道多方向髓内减压治疗股骨头坏死的价值.中国矫形外科杂志,2005,13(15)∶1141-1143.
[98]王志刚,王岩,刘玉杰,等.小孔径钻孔减压并髋关节镜清理术治疗早期股骨头缺血性坏死的临床研究.中华医学杂志,2007,87(29).
[99]林斌,王岩,赵卫东,等.记忆合金网球支架治疗成人股骨头缺血性坏死的生物力学研究.中国临床解剖学杂志,2002,20(2)∶150-152.
[100]王少华,王义生.酒精性股骨头坏死的发病机理与防治研究新进展.中国骨与关节外科,2011,4(1)∶60-64.
[101]李伟军,王义生,杨国辉,等.股方肌蒂骨柱加钛网伞状支撑术治疗非创伤性股骨头坏死的初步临床观察.中华骨科杂志,2010,30(1)∶37-41.
[102]曹亚伟,王义生,韩枫,等.骨髓间充质干细胞和伞状支撑骨移植术治疗股骨头坏死的实验研究.中华显微外科杂志,2010,33(4)∶293-296.
[103]王义生,殷力,卢中道,等.双支撑骨柱移植术治疗股骨头坏死的远期疗效分析.中华骨科杂志,2007,27(1)∶59-63.
[104]王义生,殷力,吴学建,等.带肌蒂骨瓣移植术治疗股骨头坏死.中华关节外科杂志(电子版),2008,2(1)∶3-6.
[105]刘强,吴斗,韩树峰,等.应用显微外科技术预防青壮年股骨颈骨折后股骨头坏死.中华显微外科杂志,2006,29(3)∶170-173.
[106]吴斗,刘强,李刚,等.血管束骨内移植治疗青少年股骨头缺血性坏死.中华显微外科杂志,2009,32(4).
[107]楼晓,宫恩年,商丰元,等.肝细胞生长因子基因修饰间充质干细胞治疗股骨头坏死的探索性研究.组织工程与重建外科杂志,2009,5(2)∶83-85,107.
[108]陈卫衡,刘道兵,张洪美,等.股骨头坏死的三期四型辨证思路.中国中医基础医学杂志,2003,9(12)∶51-52.
[109]陈卫衡.股骨头坏死"痰瘀同治"的理论基础.江苏中医药,2008,40(5).
[110]刘吉鹏,张书钦,陈卫衡,等.早期股骨头坏死影像表现特点及鉴别诊断.中国骨伤,2010,23(5)∶344-348.
[111]陈卫衡,许锐,欧行文,等.中药预防激素性股骨头坏死临床初步研究.北京中医药,2008,27(10)∶761-763.
[112]史占军,肖军,李朋.人工关节置换术后假体周围感染的诊断.中华骨科杂志,2010,30(6)∶626-629.
[113]史占军,管明强.全髋置换术后陶瓷假体的碎裂及其翻修.中华外科杂志,2009,47(21)∶1671-1673.
[114]陈继营.髋关节置换外科的热点问题.山东医药,2010,50(12)∶1-2.
[115]陈振光,余国荣,喻爱喜,等.带血供股骨干前外侧面骨膜瓣移位术的临床应用.中华显微外科杂志,2004,27(1)∶21-23.
[116]曾忠华,喻爱喜,余国荣,等.股骨头坏死患者的术后康复治疗.中华物理医学与康复杂志,2005,27(9)∶557-558.
[117]吴志宏,邱贵兴,翁习生,等.激素性股骨头坏死血小板和内皮细胞源性膜微粒数量的变化及药物干预实验研究.中华关节外科杂志(电子版),2011,5(4)∶469-475.
[118]翁习生,翟吉良.多孔钽金属棒在早期股骨头缺血性坏死中的应用.中国骨与关节外科,2008,1(4)∶339-343.
[119]李敬东,赵德伟,朱盛修,等.带血管蒂髂骨膜瓣移位治疗股骨头缺血性坏死.中国修复重建外科杂志,2000,14(1)∶37-38.
[120]张宏军,高书图,胡永成,等.髓芯减压联合自体骨髓干细胞移植治疗股骨头坏死的早期临床观察.中华骨科杂志,2010,30(1)∶48-52.
[121]杨强,卢世璧,胡永成,等.组织工程骨-软骨复合体修复犬股骨头负重区大面积骨软骨缺损的实验研究.中华骨科杂志,2011,31(5)∶549-555.
[122]赵德伟.股骨头缺血性坏死的修复与再造(第2版).北京:人民卫生出版社,2008.
[123]赵德伟.骨坏死.北京:人民卫生出版社,2004.
[124]苏继承.骨伤科康复技术.北京:人民卫生出版社,2008.
[125]JeMe Cioppa-Mosca,Janet B.Cahill,John T.Cavanaugh et al.骨科术后康复指南.天津:天津科技翻译出版公司,2009.
[2]Mont MA,Jones LC,Hungerford DS.Nontraumatic Osteonecrosis of the Femoral Head:Ten Years Later.J Bone Joint Surg Am,2006,88(5)∶1117-32.
[3]Sugano N,Kubo T,Takaoka K,et al.Diagnostic criteria for non-traumatic osteonecrosis of the femoral head.A multicentre study.J Bone Joint Surg Br,1999,81(4)∶590-5.
[4]Soohoo NF,Vyas RM,Samimi DB,et al.Comparison of the responsiveness of the SF-36and WOMAC in patients undergoing totalhip arthroplasty.J Arthroplasty,2007,22∶1168-1173.
[5]Harris WH.Traumatic arthritis of the hip after dislocation and acetabular fractures:treatment by mold arthroplasty.An end-result study using a new method of result evaluation.J Bone Joint Surg,1969,51∶737-755.
[6]Gardeniers JW.ARCO intronational stage of osteonecrosis.ARCO Newsletter,1993,5∶79-82.
[7]Steinberg ME,Brighton CT,Corces A,et al.Osteonecrosis of the femoral head.Results of core decompression and grafting with and without electrical stimulation.Clin Orthop Relat Res,1989,(249)∶199-208.
[8]Ficat RP.Idiopathic bone necrosis of the femoral head.Early diagnosis and treatment.J Bone Joint Surg Br,1985,67(1)∶3-9.
[9]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)∶325-30.
[10]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 with20Years Follow-up.Microsurgery.
[11]Zhao D,Xie H.Vascularized the greater trochanter grafting treatment cysts of the femoral neck.Medical Hypotheses.
[12]Cui X,Zhao D,Zhang B,et al.Osteogenesis mechanism of chitosan-coated calcium sulfate pellets on the restoration of segmental bone defects.J Craniofac Surg,2009,20(5)∶1445-50.
[13]Wang Z,Zhao D,Wang W,et al.A wireless medical information query system based on Unstructured Supplementary Service Data(USSD).Telemed J E Health,2008,14(5)∶454-60.
[14]Zhao D,Wang B,Guo L,et al.Will a vascularized greater trochanter graft preserve the necroticfemoral head?Clin Orthop Relat Res,2010,468(5)∶1316-24.
[15]Zhao D,Xu D,Wang W,et al.Iliac graft vascularization forfemoral headosteonecrosis.Clin Orthop Relat Res,2006,442∶171-9.
[16]Zhao De-wei,Sun Qiang,Wang Benjie,et al.Free iliac crest grafts with periosteum for treatment of old acetabular defects.Chinese Journal of Traumatology,2006,9(6)∶338-340.
[17]Fan M,Wang Y.Emu model of full-range femoral head osteonecrosis induced focally by an alternating freezing and heating insult.J Int Med Res,2011,39(1)∶187-98.
[18]Peng J,Wen C,Wang A,et al.Micro-CT-based bone ceramic scaffolding and its performance after seeding with mesenchymal stem cells for repair of load-bearing bone defect in canine femoral head.J Biomed Mater Res B Appl Biomater,2011,96(2)∶316-25.
[19]Wang Y,Chai W.Superelastic cage implantation:a new technique for treating osteonecrosis of the femoral head with mid-term follow-ups.J Arthroplasty,2009,24(7)∶1006-14.
[20]Wang Yisheng,Zhang Yi,LI Junwei,et al.A modified technique of bone grafting pedicled with femoral quadratus for alcohol-induced osteonecrosis of the femoral head.Chin Med J,2010,123(20)∶2847-2852.
[21]Wang BL,Sun W,Li ZR,et al.Treatment of nontraumatic osteonecrosis of the femoral head with the implantation of core decompression and concentrated autologous bone marrow containing mononuclear cells.Arch Orthop Trauma Surg,2010,130(7)∶859-865.
[22]Wang BL,Sun W,Li ZR.et al.Treatment of nontraumatic osteonecrosis of the femoral head using bone impaction graftingthrough a femoral neck window.Int Orthop,2010,34(5)∶635-9.
[23]Li Z,Shi Z,Guo W,et al.Preliminary experiences in minimally invasive and mini-incision surgery total hip arthroplasty for late osteonecrosis of the femoral head.Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi,2005,19(9)∶710-3.
[24]Kang P,Pei F.Repairing defect and preventing collapse of caninefemoral headusing titanium implant enhanced by autogenous bone graft and rhBMP-2.
[25]Wang Y,Yin L,Li Y,et al.Preventive effects of puerarin on alcohol-induced osteonecrosis.Clin Orthop Relat Res,2008,466(5)∶1059-67.
[26]Wang Y,Li Y,Mao K,et al.Alcohol-induced adipogenesis in bone and marrow:a possible mechanism for osteonecrosis.Clin Orthop Relat Res,2003,(410)∶213-24.
[27]He W,Li K.Incidence of genetic polymorphisms involved in lipid metabolism among Chinese patients with osteonecrosis of thefemoral head.Acta Orthop,2009,80(3)∶325-9.
[28]He W,Xu C,Fan Y,et al.Effects of the Chinese drugs for activating blood circulation on plasma TXB2and6-keto-PGF1alpha contents in rabbits with glucocorticoid-inducedfemoral headnecrosis.J Tradit Chin Med,2004,24(3)∶233-7.
[29]Liu G,Wang J,et al.Effect of a porous tantalum rod on early and intermediate stages of necrosis of thefemoral head.Biomed Mater,2010,5(6)∶065003.
[30]Yang S,Wu X,Xu W,et al.Structural augmentation with biomaterial-loaded allograft threaded cage for the treatment offemoral headosteonecrosis.J Arthroplasty,2010,25(8)∶1223-30.
[31]Wang B,Yang S,Shao Z,et al.Functionalized self-assembling peptide nanofiber hydrogel as a scaffold for rabbit nucleus pulposus cells.J Biomed Mater Res A,2012,100(3)∶646-653.
[32]Wang Z,Yang S,Zhang X,et al.BON1interacts with the protein kinases BIR1and BAK1in modulation of temperature-dependent plant growth and cell death in Arabidopsis.Plant J,2011,67(6)∶1081-1093.
[33]Li Y,Wang K,Zhang Z,et al.The experimental study on treatment of glucocorticoid-induced ischemic necrosis offemoral headby gu fu sheng capsule.J Tradit Chin Med,2004,24(4)∶303-7.
[34]Li X,Wang K,Chen J,et al.Significance of nitric oxide on the pathogenesis of steroid inducedfemoral headnecrosis.Chin J Traumatol,2000,3(1)∶62-63.
[35]Qi B,Yu A,Zhang G,et al.The treatment of displacedfemoralneck fractures with vascularized great trochanter periosteal flap transposition in children.Microsurgery.2008;28(1)∶21-24.
[36]Sun Y,Feng Y,Zhang C,et al.Beneficial effect of autologous transplantation of endothelial progenitor cells on steroid-inducedfemoral headosteonecrosis in rabbits.Cell Transplant,2011,20(2)∶233-43.
[37]Yin S,Zhang C,et al.Treatment of osteonecrosis of thefemoral headin lymphoma patients by free vascularised fibular grafting.Int Orthop,2011,35(8)∶1125-30.
[38]Zhang C,Zeng B,Jin D,et al.Treatment offemoral headnecrosis with free vascularized fibula grafting:a preliminary report.Microsurgery,2005,25(4)∶305-9.
[39]Sara McConnell,Pamela Kolopack,Aileen M.Davis.The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)∶a review of its utility and measurement properties.Arthritis Care&Research,2001,45(5)∶453-461.
[40]Qin L,Zhang G,Sheng H,et al.Multiple bioimaging modalities in evaluation of an experimental osteonecrosis induced by a combination of Lippolysaccharide and Methylprednisolone.Bone,2006,39(4)∶863-871.
[41]Sheng H,Zhan G,Wang YX,et al.Functional perfusion MRI predicts later occurrence of steroid-associated osteonecrosis:An experiment study in rabbits.J Orthop Res,2009,27∶742-747.
[42]Zhang G,Qin L,Sheng H,et al.A novel semisynthesized small molecule icaritin reduces incidence of steroid-associated osteonecrosis with inhibition of both thrombosis and lipid-deposition in a dose-dependent manner.Bone,2009,44(2)∶345-56.
[43]Xie XH,Wang XL,Zhang G,et al.Impaired bone healing in rabbits with steroid-associated osteonecrosis.J Bone Joint Surg Br,2011,93(4)∶558-65.
[44]Xie XH,Wang XL,He YX,et al.Promoted repair of steroid-associated osteonecrosis by implantation of cryopreserved bone marrow mononuclear cells in a rabbit model.Arthritis Rheum,2012,doi:10.1002/art.33471.
[45]张鹤山,李子荣.股骨头坏死诊断与治疗的专家建议.中华骨科杂志,2007,27(2)∶146-148.
[46]赵德伟.股骨头缺血性坏死保留股骨头治疗的新方法与选择.中华医学杂志,2011,91(47)∶3313-3315.
[47]李静东,赵德伟,崔大平,等.成人酒精性股骨头缺血性坏死病理与MRI影像学对坏死程度的定量分析.中国骨与关节损伤杂志,2011,26(8)∶689-691.
[48]赵德伟.带血管蒂骨瓣移植治疗股骨头坏死的经验与技巧.中华显微外科杂志,2009,32(4)∶265-266.
[49]王本杰,赵德伟,郭林.单纯带血管蒂骨瓣转移与联合钽棒植入治疗股骨头缺血性坏死的比较研究.中华显微外科杂志,2009,32(4)∶271-274.
[50]赵德伟,崔大平.全髋关节置换手术前后三维步态分析.中华外科杂志,2009,47(2)∶132-135.
[51]赵德伟,崔大平,郭林,等.关节镜下髓芯减压基因转染骨髓间质干细胞修复兔股骨头缺血性坏死,中华骨科杂志,2008,28(11),945-948.
[52]赵德伟.股骨头缺血性坏死.中华骨科杂志,2008,28(3)∶258-264.
[53]赵德伟,崔大平,郭林,等.关节镜下自体干细胞体外培养回植治疗早期股骨头缺血性坏死的临床研究.中华显微外科杂志,2008,31(1)∶20-22.
[54]赵德伟.股骨头缺血性坏死微创及显微外科治疗进展.中华显微外科杂志,2008,31(1)∶7-8.
[55]赵德伟.应认真做好股骨头缺血性坏死修复治疗的术后功能评价.中华医学杂志,2007,87(41)∶2881-2993.
[56]赵德伟,王本杰.微创带血管蒂骨瓣转移术在股骨头缺血性坏死中的应用.中华医学杂志,2007,87(29)∶2036-2040.
[57]赵德伟,王卫明,王本杰等.股骨头坏死显微外科手术治疗失败病例的人工全髋关节置换.中华显微外科杂志,2006,29(3)∶174-177.
[58]赵德伟,王卫明,王本杰等.带双血管蒂大转子骨瓣转移治疗股骨头缺血性坏死.中华显微外科杂志,2006,29(3)∶167-169.
[59]赵德伟.股骨头缺血性坏死修复与重建的意义.中华显微外科杂志,2006,29(3)∶165-166.
[60]崔大平,赵德伟.干细胞体外培养关节镜下髓芯减压回植治疗早期股骨头坏死的实验研究.中华医学杂志,2009,89(5)∶338-341.
[61]赵德伟.带血管蒂骨瓣移植治疗股骨头坏死的经验与技巧.中华显微外科杂志,2009,32(4)∶265-266.
[62]赵德伟,徐达传,崔旭.股骨头不同区域囊变对力学承载的影响.中华骨科杂志,2005,25(4)∶232-235.
[63]赵德伟,徐达传,马岩,等.旋股外侧血管升支臀中肌支大转子骨瓣转移的应用解剖.中华显微外科杂志,2004,27(2)∶129-131.
[64]李子荣.准确诊断、合理治疗股骨头坏死.中华全科医师杂志,2006,5(2)∶69-71.
[65]李子荣,张念非,史振才,等.股骨头坏死塌陷的预测与治疗方法的选择.中华骨科杂志,2003,23(4)∶193-196.
[66]李子荣.类似股骨头坏死的髋关节疾病的鉴别诊断.中华骨科杂志,2010,30(10)∶1011-1015.
[67]张念非,李子荣,张雪哲,等.股骨头髓芯减压带旋髂深血管蒂髂骨骨瓣植骨治疗股骨头缺血性坏死.中华外科杂志,2003,41(2)∶125-128.
[68]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.
[69]李子荣.股骨头坏死治疗方法选择的病理学基础.中华医学杂志,2007,87(29)∶2021-2022.
[70]康鹏德,裴福兴,王坤正.股骨头坏死的研究和治疗进展.中国骨与关节损伤杂志,2005,20(1)∶65-68.
[71]田雷,王坤正,党晓谦,等.阿魏酸钠对兔激素性股骨头坏死早期的干预作用及对骨细胞.西安交通大学学报(医学版),2011,32(2)∶220-226.
[72]王伟,王坤正,刘利英,等.激素性股骨头坏死股骨头内PPARγ及BMP2的动态表达.中华骨科杂志,2008,28(4)∶327-332.
[73]王建忠,王坤正,时志斌,等.激素性股骨头坏死患者股骨头骨组织骨保护素NF-κB受体活化因子配基mRNA表达.中国修复重建外科杂志,2008,22(10)∶1161-1164.
[74]熊明月,王坤正,党晓谦.早期激素性股骨头坏死骨细胞凋亡的实验研究.中国修复重建外科杂志,2007,21(3)∶262-265.
[75]杨述华.不同方法延迟关节置换治疗股骨头坏死比较观察.中国矫形外科杂志,2008,16(8)∶602-605.
[76]张劲松,杨述华,徐伟华,等.多孔钽棒植入微创治疗早期股骨头坏死的近期疗效.中国骨肿瘤骨病,2011,10(2)∶155-158.
[77]许伟华,杨述华,冯勇,等.多孔钽棒植入治疗股骨头坏死的适应证及临床疗效观察.中国骨与关节外科,2010,3(1)∶28-32.
[78]傅德皓,杨述华.股骨头坏死的分类及评价体系.中华外科杂志.2009,47(8)∶628-631.
[79]夏天,杨述华.钽棒支撑用于股骨头坏死研究概况.国际骨科学杂志,2010,31(1)∶5-7.
[80]杨述华,许伟华,叶树楠,等.异体螺纹骨笼结合自体松质骨支撑治疗早期股骨头坏死的临床疗效.中国骨与关节外科,2009,2(2)∶95-99.
[81]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.
[82]何伟,陈镇秋,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.
[83]徐传毅,何伟,方斌,等.生脉成骨方对股骨头坏死Ⅰ型胶原表达的调节作用研究.现代中西医结合杂志,2003,12(6)∶574-576.
[84]张铭杰,何伟.骨髓间充质干细胞在股骨头坏死治疗中的应用进展.实用骨科杂志,2011,17(5)∶434-440.
[85]庞智晖,何伟,张庆文,等.改良减压植骨内稳定术治疗围塌陷期激素性股骨头坏死.广东医学,2009,30(7)∶1071-1073.
[86]何伟,曾勤,张庆文,等.非创伤性股骨头坏死骨髓水肿与疼痛分级及坏死分期相关性的研究.中国修复重建外科杂志,2008,22(3)∶229-302.
[87]陈镇秋,何伟,张庆文,等.打压支撑植骨术治疗早期酒精性股骨头坏死的临床研究.中华骨科杂志,2010,30(1)∶42-47.
[88]罗月中,李芸,何伟,等.补肾健骨法预防肾病综合征患者激素性股骨头坏死临床研究.中医正骨,2011,23(1)∶3-6.
[89]陈圣宝,张长青,曾炳芳,等.影响吻合血管腓骨移植治疗股骨头坏死疗效的相关因素分析.中华显微外科杂志,2009,32(4)∶267-270.
[90]艾自胜,余金明,张长青,等.统计学方法在股骨头坏死随访疗效分析中的应用.同济大学学报(医学版),2007,28(5)∶98-101.
[91]尹思,张长青.股骨头坏死与基因遗传多态性.国际骨科学杂志,2010,31(3)∶178-180,189.
[92]张长青,曾炳芳,张开刚,等.改良吻合血管游离腓骨移植术治疗股骨头坏死.中华全科医师杂志,2006,5(2)∶84-86.
[93]刘晓琳,盛加根,张长青,等.单侧供体吻合血管腓骨移植治疗双侧股骨头坏死应用解剖学研究.国际骨科学杂志,2011,32(3)∶189-191,201.
[94]陈圣宝,张长青,金余明,等.成人缺血性股骨头坏死影像学特征分析.中华关节外科杂志(电子版),2008,2(1)∶17-23.
[95]刘斌,宋卫卫,赵德伟,等.基于剔除拟合的股骨头修复建模.东南大学学报(自然科学版),2008,38(1)∶58-63.
[96]周勇刚,王岩,李静东,等.同期双侧全髋置换术的临床报告.解放军医学杂志,2004,29(12)∶45-47.
[97]刘玉杰,王岩,李众利,等.髋关节镜清理小直径多孔道多方向髓内减压治疗股骨头坏死的价值.中国矫形外科杂志,2005,13(15)∶1141-1143.
[98]王志刚,王岩,刘玉杰,等.小孔径钻孔减压并髋关节镜清理术治疗早期股骨头缺血性坏死的临床研究.中华医学杂志,2007,87(29).
[99]林斌,王岩,赵卫东,等.记忆合金网球支架治疗成人股骨头缺血性坏死的生物力学研究.中国临床解剖学杂志,2002,20(2)∶150-152.
[100]王少华,王义生.酒精性股骨头坏死的发病机理与防治研究新进展.中国骨与关节外科,2011,4(1)∶60-64.
[101]李伟军,王义生,杨国辉,等.股方肌蒂骨柱加钛网伞状支撑术治疗非创伤性股骨头坏死的初步临床观察.中华骨科杂志,2010,30(1)∶37-41.
[102]曹亚伟,王义生,韩枫,等.骨髓间充质干细胞和伞状支撑骨移植术治疗股骨头坏死的实验研究.中华显微外科杂志,2010,33(4)∶293-296.
[103]王义生,殷力,卢中道,等.双支撑骨柱移植术治疗股骨头坏死的远期疗效分析.中华骨科杂志,2007,27(1)∶59-63.
[104]王义生,殷力,吴学建,等.带肌蒂骨瓣移植术治疗股骨头坏死.中华关节外科杂志(电子版),2008,2(1)∶3-6.
[105]刘强,吴斗,韩树峰,等.应用显微外科技术预防青壮年股骨颈骨折后股骨头坏死.中华显微外科杂志,2006,29(3)∶170-173.
[106]吴斗,刘强,李刚,等.血管束骨内移植治疗青少年股骨头缺血性坏死.中华显微外科杂志,2009,32(4).
[107]楼晓,宫恩年,商丰元,等.肝细胞生长因子基因修饰间充质干细胞治疗股骨头坏死的探索性研究.组织工程与重建外科杂志,2009,5(2)∶83-85,107.
[108]陈卫衡,刘道兵,张洪美,等.股骨头坏死的三期四型辨证思路.中国中医基础医学杂志,2003,9(12)∶51-52.
[109]陈卫衡.股骨头坏死"痰瘀同治"的理论基础.江苏中医药,2008,40(5).
[110]刘吉鹏,张书钦,陈卫衡,等.早期股骨头坏死影像表现特点及鉴别诊断.中国骨伤,2010,23(5)∶344-348.
[111]陈卫衡,许锐,欧行文,等.中药预防激素性股骨头坏死临床初步研究.北京中医药,2008,27(10)∶761-763.
[112]史占军,肖军,李朋.人工关节置换术后假体周围感染的诊断.中华骨科杂志,2010,30(6)∶626-629.
[113]史占军,管明强.全髋置换术后陶瓷假体的碎裂及其翻修.中华外科杂志,2009,47(21)∶1671-1673.
[114]陈继营.髋关节置换外科的热点问题.山东医药,2010,50(12)∶1-2.
[115]陈振光,余国荣,喻爱喜,等.带血供股骨干前外侧面骨膜瓣移位术的临床应用.中华显微外科杂志,2004,27(1)∶21-23.
[116]曾忠华,喻爱喜,余国荣,等.股骨头坏死患者的术后康复治疗.中华物理医学与康复杂志,2005,27(9)∶557-558.
[117]吴志宏,邱贵兴,翁习生,等.激素性股骨头坏死血小板和内皮细胞源性膜微粒数量的变化及药物干预实验研究.中华关节外科杂志(电子版),2011,5(4)∶469-475.
[118]翁习生,翟吉良.多孔钽金属棒在早期股骨头缺血性坏死中的应用.中国骨与关节外科,2008,1(4)∶339-343.
[119]李敬东,赵德伟,朱盛修,等.带血管蒂髂骨膜瓣移位治疗股骨头缺血性坏死.中国修复重建外科杂志,2000,14(1)∶37-38.
[120]张宏军,高书图,胡永成,等.髓芯减压联合自体骨髓干细胞移植治疗股骨头坏死的早期临床观察.中华骨科杂志,2010,30(1)∶48-52.
[121]杨强,卢世璧,胡永成,等.组织工程骨-软骨复合体修复犬股骨头负重区大面积骨软骨缺损的实验研究.中华骨科杂志,2011,31(5)∶549-555.
[122]赵德伟.股骨头缺血性坏死的修复与再造(第2版).北京:人民卫生出版社,2008.
[123]赵德伟.骨坏死.北京:人民卫生出版社,2004.
[124]苏继承.骨伤科康复技术.北京:人民卫生出版社,2008.
[125]JeMe Cioppa-Mosca,Janet B.Cahill,John T.Cavanaugh et al.骨科术后康复指南.天津:天津科技翻译出版公司,2009.
基本信息:
DOI：
中图分类号:R687.4
引用信息:
[1].成人股骨头坏死诊疗标准专家共识(2012年版)[J].中国骨与关节外科,2012,5(02):188-195.
基金信息: