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| Effect of iliac bone flap pedicled with deep circumflex iliac artery with decalcified human dental matrix material in the treatment of osteonecrosis of the femeral head |
| ZHANG Leming FENG Jianshu▲ FU Qiang WANG Jiangyong |
| Department of Orthopedics, Shijiazhuang the Third Hospital, Hebei Province, Shijiazhuang 050011, China |
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Abstract Objective To investigate the effect of iliac bone flap pedicled with deep circumflex iliac artery with decalcified human dental matrix material (DTM) in the treatment of osteonecrosis of the femeral head. Methods From September 2013 to October 2015, 166 patients with osteonecrosis of the femeral head from the Department of Orthopedics, Shijiazhuang the Third Hospital were selected and divided into control group and experiment group, with 83 cases in each group. The control group was treated with implantation of iliac bone flap pedicled with deep circumflex iliac artery, while the experiment group was received implantation of iliac bone flap pedicled with deep circumflex iliac artery with DTM, hip symptoms and functional score, serum osteocalcin (BGP), type Ⅰ procollagen N propeptide (PINP), type Ⅰ procollagen C terminal peptide (CTX-Ⅰ) levels, SF-36 quality of life score were compared. Results Compared with the control group, pain visual analogue scale (VAS) score in the experiment group was lower, Japanese Society of Department of orthopedics (JOA) hip function score and Harris hip score in the experiment group were higher after treatment, serum levels of BGP、PINP、CTX-Ⅰ were lower, phyisical component summary scale (PCS) and mental component summary scale (MCS) score in the SF-36 quality of life were higher, with significant difference (P < 0.05). Conclusion The clinical curative effect of iliac bone flap pedicled with deep circumflex iliac artery with DTM in the treatment of osteonecrosis of the femeral head is exactly, which can reduce the levels of serum BGP, PINP, CTX-Ⅰ and hip pain symptoms, improve the function of hip joint and life quality of the patients.
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