CAJ | 학술논문

目的探讨腕关节镜辅助下重建陈旧性桡尺远侧韧带的方法.方法对14例陈旧性桡尺远侧韧带损伤者,在腕关节镜辅助下,重建桡尺远侧韧带(取掌长肌肌腱作移植肌腱).结果术后14例均获得5～16个月的随访,术后与术前比较腕关节稳定性、活动幅度均有明显提高,疼痛无力症状明显缓解.按照改良Mayo腕功能评分标准评定:优9例,良4例,可1例.结论腕关节镜辅助下重建陈旧性桡尺远侧韧带,虽然对手术器械及技术要求较高,但该术式重建的桡尺远侧韧带更加接近生理解剖结构,手术创伤小,功能恢复满意.
목적 탐토완관절경보조하중건진구성뇨척원측인대적방법.방법 대14례진구성뇨척원측인대손상자,재완관절경보조하,중건뇨척원측인대(취장장기기건작이식기건).결과 술후14례균획득5～16개월적수방,술후여술전비교완관절은정성、활동폭도균유명현제고,동통무력증상명현완해.안조개량Mayo완공능평분표준평정:우9례,량4례,가1례.결론 완관절경보조하중건진구성뇨척원측인대,수연대수술기계급기술요구교고,단해술식중건적뇨척원측인대경가접근생리해부결구,수술창상소,공능회복만의.
Objective To discuss the technique of repairing old distal radioulnar ligament injury under wrist arthroscopy. Methods Fourteen cases of old distal radioulnar ligament injuries were treated under wrist arthroscopy to reconstruct the ligament with palmaris longus tendon graft. Results All 14 cases were follow-up for 5 to 16 months postoperatively. Comparing to preoperative evaluations, wrist stability and range of motion were significantly better. Pain and weakness were greatly improved. According to modified Mayo wrist scoring system the results were excellent in 9 cases, good in 4 cases and fair in 1 case. Conclusion Wrist arthroscopically assisted reconstruction of distal radioulnar ligament, despite the demand for surgical instruments and techniques,restores the ligament closer to its physiological anatomy and leads to satisfactory functional recovery.