Treatment effect analysis of retention joint treatment of femoral head necrosis

Objective To analyze the effect of the retention joint treatment of femoral head necrosis.Methods 112 cases patients(123 hips) with femoral head necrosis were taken with retained joint treatment for the surgical method.Treatment methods were the vascular part of the transverse branch of lateral circumflex femoral greater trochanter,the lateral femoral circumflex vessel part of the ascending branch of iliac bone,iliac vascular pedicle iliac bone with the lateral femoral circumflex vessel part and the descending branch the periosteal branch of the periosteal flap surgery.Evaluated the orthopedic imaging based on Ficat staging and evaluated the clinical effect according to the Harris hip score.Results Ficat Ⅱ,Ⅲ,Ⅳ period restoring good rate was 95.6%,85.7%,53.3%.The Harris score of 112 cases patients after treatment were higher than that before treatment,the difference was statistically significant(P0.05).Conclusion In the treatment of femoral head necrosis,use microsurgical instruments,analyze the severity of patient,select purely/vascularized bone transfer method,to be able to receive good treatment,worthy of clinical application.