带监测皮岛的旋髂深血管蒂髂骨瓣植骨治疗青壮年股骨颈骨折

目的进一步探讨青壮年股骨颈骨折的手术治疗方法，以提高疗效。方法采用带监测皮岛的旋髂深血管蒂髂骨瓣移植及切开复位内固定治疗股骨颈骨折25例，术后观察监测皮岛，从而监测股骨头的血供。结果23例术后监测皮岛血运良好，2例监测皮岛提示了移植骨瓣的血管危象，及时探查手术，取出血栓，恢复血供。所有病例均早期骨性愈合，无股骨头坏死。结论带监测皮岛的旋髂深血管蒂髂骨瓣植骨治疗股骨颈骨折，可以早期监测股骨头血供，促进骨折愈合，减少股骨头缺血性坏死的发生。

Transplantation of Iliac Lamella of Circumflex Ilium Profound Artery with Monitoring Skin Flap for Treatment of Young and Middle Aged Patients with Femoral Collum Fracture

Objective To explore the operative therapy of young and middle-age patients with femoral collum fracture to improve the therapeatic efficacy. Methods 25 cases of femoral collum fracture were treated with opening and internal fixation, and circumflex iliac vascular pedicle bone graft of ilium with monitoring skin flap. After operation, The blood supply of femoral collum was observed by the monitoring skin flap. Results The blood supply of the monitoring skin flap in 23 cases was good, and in 2 cases the monitoring skin flap's color chang indicated that the crisis occurred in the circulation of the grafted bone. The grated bone recovered the blood supply through removing thrombosis by operation. All the patients were cured early, and no femoral head nercosis occured. Conclusion The transplantation of iliac lamella of circumflex ilium profound artery with monitoring skin flap for the treatment of femoral collum fracture could monitor the blood supply of femoral head, improve the fracture healing, and decrease the incidence of femoral head necrosis.