目的　探讨一种简便的髓芯减压和植骨治疗非塌陷性股骨头无菌性坏死的效果。  方法　对46例（58髋）Ficat Ⅱ和Ⅲ 〈A〉型股骨头无菌性坏死的治疗应用了髓芯减压、病灶刮除、松质骨植骨和自体或异体腓骨的支撑术。  结果　随访2~5年，按Harris标准其优良率为83.3%。 Harris评分由术前平均61 分增加到术后5年时的平均 85 分。  结论　髓芯减压、病灶刮除、松质骨植骨及自体或异体腓骨支撑、治疗非塌陷性股骨头无菌性坏死具有良好的疗效，可使中青年患者推迟人工关节置换年龄。

Objective　To investigate the clinical value of core decompression and non-vascular fibula strut graft for treatment of aseptic femoral head necrosis.　Methods　Core decompression, debridement and fibula strut graft were performed for treatment of 46 patients with Ficat II and III A-pattern aseptic femoral head necrosis.　Results　During two to five years of following-up, the Harris scale was used the assess the therapeutic efficacy and good and excellent rate was determined as being 83%. The average score by Harris scale was raised to 85 points postoperatively from 61 points preoperatively.　Conclusion　Using core decompression and fibula strut graft for treatment of aseptic femoral head necrosis could be valuable in delaying the hip joint replacement.