CAJ | 학술논문

目的：评价腕关节镜辅助下经皮Bold螺钉内固定治疗舟骨骨折的短期疗效。方法选择重庆医科大学第二附属医院骨科2011年10月至2013年8月收治的12例舟骨骨折患者为研究对象，其中左侧舟骨骨折4例，右侧8例；新鲜骨折11例，陈旧性骨折1例；根据改良 Herbert分型，B2型11例，B3型1例。所有患者均采取腕关节镜辅助下经皮Bold螺钉内固定。术后随访6～24个月，观察患者骨折愈合情况及腕关节改良M ayo评分结果。结果术后所有患者伤口Ⅰ/甲愈合，11例骨折愈合，1例骨折延迟愈合。腕关节改良M ayo评分结果显示，优9例，良1例，可1例，差1例，优良率为83．33％。结论腕关节镜辅助下经皮Bold螺钉内固定技术是一种微创、短期疗效可靠地治疗新鲜舟骨骨折的手术方法。
목적：평개완관절경보조하경피Bold라정내고정치료주골골절적단기료효。방법선택중경의과대학제이부속의원골과2011년10월지2013년8월수치적12례주골골절환자위연구대상，기중좌측주골골절4례，우측8례；신선골절11례，진구성골절1례；근거개량 Herbert분형，B2형11례，B3형1례。소유환자균채취완관절경보조하경피Bold라정내고정。술후수방6～24개월，관찰환자골절유합정황급완관절개량M ayo평분결과。결과술후소유환자상구Ⅰ/갑유합，11례골절유합，1례골절연지유합。완관절개량M ayo평분결과현시，우9례，량1례，가1례，차1례，우량솔위83．33％。결론완관절경보조하경피Bold라정내고정기술시일충미창、단기료효가고지치료신선주골골절적수술방법。
Objective To evaluate the short term effect of arthroscopic-assisted percutaneous Bold screw inter-nal fixation in the treatment of scaphoid fracture .Methods 12 patients with scaphoid fracture in our hospital from October 2011 to August 2013 were selected as the research subjects ,including 4 cases of left side and 8 cases of right side ,11 cases of acute fracture and 1 case of old fracture ;11 cases was identified as type B2 and 1 case as B3 according to the modified Herbert classification .All cases were treated with wrist arthroscopy-assisted percutaneous Bold screws internal fixation and followed up for 6 to 24 months after operation .The incision ,bone healing and Mayo score were observed .Results In 12 cases ,all the operational incisions obtained primary healing ,11 cases achieved bone u-nion and 1 case delayed union .According to the modified Mayo standard ,the results were excellent in 9 cases ,good in 1 case ,fair in 1 case and poor in 1 case ,with the effective rate of 83 .33% .Conclusion Arthroscopic-assisted percuta-neous Bold screw internal fixation is an operative method to treat acute scaphoid fracture with minimal invasion and reliable short term effect .