[Repair of large articular cartilage defect of hip with allograft of skull periosteum].
It is very difficult to repair large articular cartilage defect of the hip. From May 1990 to April 1994, 47 hips in 42 patients of large articuler cartilage defects were repaired by allograft of skull periosteum. Among them, 14 cases, whose femoral heads were grade. IV necrosis, were given deep iliac circumflex artery pedicled iliac bone graft simultaneously. The skull periosteum had been treated by low tempreturel (-40 degrees C) before and kept in Nitrogen (-196 degrees C) till use. During the operation, the skull periosteum was sutured tightly to the femoral head and sticked to the accetabulum by medical ZT glue. Thirty eight hips in 34 patients were followed up for 2-6 years with an average of 3.4 years. According to the hip postoperative criteria of Wu Zhi-kang, 25 cases were excellent, 5 cases very good, 3 cases good and 1 case fair. The mean score increased from 6.4 before operation to 15.8 after operation. The results showed, in compare with autograft of periosteum for biological resurface of large articular defect, this method is free of donor-site morbidity. Skull periosteum allograft was effective for the treatment of large articular cartilage defects in hip.
Zhou
J
J
Department of Orthopaedic Surgery, Affiliated Hospital of Bengbu Medical College, Anhui, P.R. China.
Hu
R
R
Pan
G
G
D000293:Adolescent; D000328:Adult; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D002358:Cartilage, Articular / Q000601:surgery*; D002648:Child; D015925:Cryopreservation; D005260:Female; D005271:Femur Head Necrosis / Q000601:surgery*; D016332:Fetal Tissue Transplantation; D006801:Humans; D008297:Male; D009926:Organ Preservation; D010521:Periosteum / Q000196:embryology / Q000637:transplantation*; D012886:Skull