中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2011年
6期
341-342
,共2页
徐吉海%王欣%陈宏%章伟文%王胜伟%华祖广%胡浩良
徐吉海%王訢%陳宏%章偉文%王勝偉%華祖廣%鬍浩良
서길해%왕흔%진굉%장위문%왕성위%화조엄%호호량
骨折固定术%韧带%修复外科手术%桡尺远侧关节
骨摺固定術%韌帶%脩複外科手術%橈呎遠側關節
골절고정술%인대%수복외과수술%뇨척원측관절
Fracture fixation%Ligaments%Reconstructive surgical procedures%DRUJ
目的 介绍累及桡尺远侧关节不稳定的桡骨远端合并尺骨茎突骨折的手术指征和治疗方法.方法 2005年1月至2009年6月,对12例桡骨远端骨折合并尺骨茎突骨折的患者,采用克氏针结合张力带钢丝固定尺骨茎突,同时采用骨锚修复下尺桡韧带深层结构在尺骨隐窝的止点,从而稳定桡尺远侧关节.结果 术后12例桡骨远端骨折及尺骨茎突骨折均愈合,术后随访时间为6~18个月.按改良的Mayo腕关节评分标准评定:优4例,良5例,中2例,差1例.结论 尺骨茎突在桡尺远侧关节稳定中起着重要作用,对累及下尺桡韧带结构损伤的尺骨茎突骨折进行固定并重建韧带对稳定桡尺远侧关节有较为重要的作用.
目的 介紹纍及橈呎遠側關節不穩定的橈骨遠耑閤併呎骨莖突骨摺的手術指徵和治療方法.方法 2005年1月至2009年6月,對12例橈骨遠耑骨摺閤併呎骨莖突骨摺的患者,採用剋氏針結閤張力帶鋼絲固定呎骨莖突,同時採用骨錨脩複下呎橈韌帶深層結構在呎骨隱窩的止點,從而穩定橈呎遠側關節.結果 術後12例橈骨遠耑骨摺及呎骨莖突骨摺均愈閤,術後隨訪時間為6~18箇月.按改良的Mayo腕關節評分標準評定:優4例,良5例,中2例,差1例.結論 呎骨莖突在橈呎遠側關節穩定中起著重要作用,對纍及下呎橈韌帶結構損傷的呎骨莖突骨摺進行固定併重建韌帶對穩定橈呎遠側關節有較為重要的作用.
목적 개소루급뇨척원측관절불은정적뇨골원단합병척골경돌골절적수술지정화치료방법.방법 2005년1월지2009년6월,대12례뇨골원단골절합병척골경돌골절적환자,채용극씨침결합장력대강사고정척골경돌,동시채용골묘수복하척뇨인대심층결구재척골은와적지점,종이은정뇨척원측관절.결과 술후12례뇨골원단골절급척골경돌골절균유합,술후수방시간위6~18개월.안개량적Mayo완관절평분표준평정:우4례,량5례,중2례,차1례.결론 척골경돌재뇨척원측관절은정중기착중요작용,대루급하척뇨인대결구손상적척골경돌골절진행고정병중건인대대은정뇨척원측관절유교위중요적작용.
Objective To introduce the surgical indications and treatment options of combined distal radial and ulnar styloid fractures associated with DRUJ instability.Methods Twelve patients suffering from combined distal radial and ulnar styloid fractures were treated between January 2005 and June 2009.The ulnar styloid was fixed by a Kirschner wire and tension band.Meanwhile the DRUJ was stabilized by anchoring the deep structure of the radioulnar ligament to the ulnar fossa.Results The duration of postoperative follow-up ranged from 6 to 18 months.Bone union of the distal radius and ulnar styloid was achieved in all 12 cases.According to modified Mayo wrist score,the results were excellent in 4 cases,good in 5 cases,moderate in 2 cases and bad in 1 case.Conclusion Ulnar styloid plays an important role in DRUJ stability.Fixation of ulnar styloid fracture that affects the radioulnar ligament and repairing the deep radioulnar fibers is critical for stabilizing the DRUJ.