CAJ | 학술논문

目的：探讨早期手术内固定治疗经舟骨月骨周围脱位的效果。方法某院2012年1月-2013年1月7例经舟骨月骨周围脱位采用手术进行Herbert螺钉内固定舟骨和（或）辅助克氏针固定月骨周围脱位治疗的患者进行回顾性分析。并进行随访及在术后3个月、6个月、12个月及24个月进行Conney评分测定腕关节恢复情况。结果7例患者骨折平均愈合时间为5.2个月。腕关节X线正侧位片显示各腕骨间关系正常，舟月角平均49°(35°-60°)。无舟月分离、腕骨高度塌陷、近排腕骨背伸不稳定和掌屈不稳定，未见月骨、舟状骨坏死及创伤性关节炎的表现。采用Cooney评分法对患者术后3个月、6个月、12个月及24个月腕关节功能进行评价，其中24个月优良率达100%。结论早期诊断并应用“Herbert螺钉内固定周骨和（或）辅助克氏针固定月骨周围脱位”用于治疗舟骨月骨周围脱位效果良好。
목적：탐토조기수술내고정치료경주골월골주위탈위적효과。방법모원2012년1월-2013년1월7례경주골월골주위탈위채용수술진행Herbert라정내고정주골화（혹）보조극씨침고정월골주위탈위치료적환자진행회고성분석。병진행수방급재술후3개월、6개월、12개월급24개월진행Conney평분측정완관절회복정황。결과7례환자골절평균유합시간위5.2개월。완관절X선정측위편현시각완골간관계정상，주월각평균49°(35°-60°)。무주월분리、완골고도탑함、근배완골배신불은정화장굴불은정，미견월골、주상골배사급창상성관절염적표현。채용Cooney평분법대환자술후3개월、6개월、12개월급24개월완관절공능진행평개，기중24개월우량솔체100%。결론조기진단병응용“Herbert라정내고정주골화（혹）보조극씨침고정월골주위탈위”용우치료주골월골주위탈위효과량호。
Objective To discuss the treatment effect of early internal fixation for periodontal and semilunar bone dislocation.Methods Seven patients with periodontal and semilunar bone dislocation who were treated by Herbert screw internal fixation and(or) Kuntscher pin fixation were analyzed retrospectively, and wrist joint recovery condition were visited and analyzed by Cooney score 3 months, 6 months, 12 months and 24 months after the operation from Jan.2012 to Jan.2013.Results The average cure time of 7 patients is 5.2 months. X ray radiographs films show the relationship between carpal bones is normal, average scaphoid lunate angle is 49°(35 °-60°). The conditions of the separation of periodontal and semilunar bone, carpal collapse, dorsal intercalated segment instability, Palm flexion instability, semilunar and navicular bone osteonecrosis and traumatic arthritis are not existed. The excellent and good rate of wrist joint function evaluation after 24 months is 100%.ConclusionThe treatment effect of early diagnosis and application of Herbert screw internal fixation and(or) Kuntscher pin fixation for periodontal and semilunar bone dislocation was good.