中国骨伤
中國骨傷
중국골상
CHINA JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
2015年
5期
426-428
,共3页
桡动脉%骨移植%舟骨%骨折%外科手术
橈動脈%骨移植%舟骨%骨摺%外科手術
뇨동맥%골이식%주골%골절%외과수술
Radial artery%Bone transplantation%Scaphoid bone%Fractures%Surgical procedures,operative
目的：探讨应用桡动脉茎突返支骨瓣治疗手舟骨AO-B型陈旧性骨折的临床疗效。方法：2007年10月到2011年10月采用桡动脉返支骨瓣移植术治疗41例陈旧性手舟骨骨折患者，男26例，女15例；年龄16～43岁，平均（27.3±4.5）岁；手术前病程6～22个月，平均11个月。均属于AO分型的B型，即手舟骨腰部陈旧性骨折。术前及术后6个月复查时对所有患者腕部功能依据Cooney腕关节评分系统评分，同时在随访过程中注意观察患者骨愈合情况。结果：36例患者获完整随访，随访时间4～15个月，平均（8.3±2.4）个月。所用患者手术切口愈合良好，无感染等并发症发生。随访过程中影像学证实骨折均完全愈合，患者Cooney腕关节评分由术前53.61±13.97提高到术后的81.81±8.71（P<0.01）。末次随访时疗效优13例，良8例，中15例。结论：桡动脉返支骨瓣移植术是一有效治疗陈旧性手舟骨骨折的方法，其治疗方法科学、疗效确切，具有较高的临床应用价值。
目的：探討應用橈動脈莖突返支骨瓣治療手舟骨AO-B型陳舊性骨摺的臨床療效。方法：2007年10月到2011年10月採用橈動脈返支骨瓣移植術治療41例陳舊性手舟骨骨摺患者，男26例，女15例；年齡16～43歲，平均（27.3±4.5）歲；手術前病程6～22箇月，平均11箇月。均屬于AO分型的B型，即手舟骨腰部陳舊性骨摺。術前及術後6箇月複查時對所有患者腕部功能依據Cooney腕關節評分繫統評分，同時在隨訪過程中註意觀察患者骨愈閤情況。結果：36例患者穫完整隨訪，隨訪時間4～15箇月，平均（8.3±2.4）箇月。所用患者手術切口愈閤良好，無感染等併髮癥髮生。隨訪過程中影像學證實骨摺均完全愈閤，患者Cooney腕關節評分由術前53.61±13.97提高到術後的81.81±8.71（P<0.01）。末次隨訪時療效優13例，良8例，中15例。結論：橈動脈返支骨瓣移植術是一有效治療陳舊性手舟骨骨摺的方法，其治療方法科學、療效確切，具有較高的臨床應用價值。
목적：탐토응용뇨동맥경돌반지골판치료수주골AO-B형진구성골절적림상료효。방법：2007년10월도2011년10월채용뇨동맥반지골판이식술치료41례진구성수주골골절환자，남26례，녀15례；년령16～43세，평균（27.3±4.5）세；수술전병정6～22개월，평균11개월。균속우AO분형적B형，즉수주골요부진구성골절。술전급술후6개월복사시대소유환자완부공능의거Cooney완관절평분계통평분，동시재수방과정중주의관찰환자골유합정황。결과：36례환자획완정수방，수방시간4～15개월，평균（8.3±2.4）개월。소용환자수술절구유합량호，무감염등병발증발생。수방과정중영상학증실골절균완전유합，환자Cooney완관절평분유술전53.61±13.97제고도술후적81.81±8.71（P<0.01）。말차수방시료효우13례，량8례，중15례。결론：뇨동맥반지골판이식술시일유효치료진구성수주골골절적방법，기치료방법과학、료효학절，구유교고적림상응용개치。
Objective:To investigate application of the bone flap pedicled on the retrograde branch of radial artery for treatment of old scaphoid bone fractures of type AO-B. Methods:From October 2007 to October 2011,41 patients with old scaphoid bone fractures of type AO-B were treated by transplantation of the bone flap pedicled on the retrograde branch of ra?dial artery including 26 males and 15 females with an average of(27.3 ± 4.5)years old ranging from 16 to 43 years old. The courses before operation ranged from 6 to 22 months with an average of 11 months. All fractures belonged to the type B of AO classification,that is old wrist fracture of scaphoid bone. All patients' wrist function(pain,function,motion,grip strength) were evaluated by Cooney's modified wrist scoring system before and 6 months after operation,and the conditions of bone heal?ing were observed during the follow up time. Results:Among them,36 patients were followed up from 4 to 15 months with an average of 8.3 months. The wounds were healed well without other complications as infection appearing. X rays or CT con?firmed that all fractures were healed completely. The Cooney wrist score was improved from preoperative 53.61±13.97 to post?operative 81.81 ± 8.71(P<0.01). Conclusion:The operation of transplantation of the bone flap pedicled on the retrograde branch of radial artery is an effective method to treat old scaphoid bone fractures,which is scientific and has curative effects, and valuable for clinical application.
