CAJ | 학술논문

目的评估应用掌侧楔形植骨克氏针内固定治疗不稳定性腕舟骨腰部骨折不愈合的效果.方法治疗12例成年男性患者,平均年龄为32.5岁,术前平均病程15.7个月.均为不稳定性腕舟骨腰部骨折不愈合伴驼背畸形,采用切开复位矫正塌陷畸形,掌侧楔形植骨克氏针内固定术.结果术后随访9 ～ 23个月(平均12.5个月),骨折均获得影像学愈合,平均3.6个月达到愈合.大多数患者的腕舟骨畸形以及腕背侧不稳(DISI)都得到满意的纠正.手术后腕关节的屈伸范围、握力以及腕背侧不稳的程度都得到改善.结论应用掌侧楔形植骨克氏针内固定治疗不稳定性腕舟骨腰部骨折不愈合是有效的.
목적 평고응용장측설형식골극씨침내고정치료불은정성완주골요부골절불유합적효과.방법 치료12례성년남성환자,평균년령위32.5세,술전평균병정15.7개월.균위불은정성완주골요부골절불유합반타배기형,채용절개복위교정탑함기형,장측설형식골극씨침내고정술.결과 술후수방9 ～ 23개월(평균12.5개월),골절균획득영상학유합,평균3.6개월체도유합.대다수환자적완주골기형이급완배측불은(DISI)도득도만의적규정.수술후완관절적굴신범위、악력이급완배측불은적정도도득도개선.결론 응용장측설형식골극씨침내고정치료불은정성완주골요부골절불유합시유효적.
Objective To evaluate the results of treating unstable scaphoid waist fracture nonunion by anterior wedge bone graft and internal fixation with Kirschner wires.Methods Twelve adult male patients with unstable scaphoid waist fracture nonunion with a humpback deformity were treated by reduction of the collapse deformity,insertion of anterior wedge bone graft,and internal fixation with Kirschner wires.The mean patient age was 32.5 years,and the mean duration of the nonunion before surgery was 15.7 months.Results The follow-up time ranged from 9 to 23 months (mean,12.5 months).Radiographic bone union was seen in all cases.Union was achieved in a mean of 3.6 months.Most of the patients had satisfactory correction of scaphoid deformity and the associated dorsal intercalated segment instability.Postoperatively,improvements were seen in the range of wrist flexion and extension,grip strength,and degree of dorsal intercalated segment instability.Conclusion The results of this series suggest that anterior wedge bone graft and internal fixation with Kirschner wires is an effective method for the treatment of unstable scaphoid waist fractures nonunion.