摘要
目的 探讨治疗腕舟骨骨不连的有效手术方法。方法 对12侧新鲜成人上肢标本进行应用解剖研究后,设计出带第1,2伸肌室间支持带上动脉蒂桡骨瓣逆行移植的手术方法。自1997年以来,临床应用该方法治疗23例腕舟骨骨不连。结果 术后全部患者获得随访,随访时间为6个月～3年,骨性愈合率达100％,愈合时间为3～7个月,腕关节功能优良率达95.7％。结论 该术式操作简单、创伤小、疗效满意,为治疗腕舟骨骨不连的有效手术方法。
Objective To investigate an effective method for treatment of scaphoid nonunion.Methods Based on the applied anatomy study of 12 fresh upper limb specimens of human adult cadavers,a new transfer of vascular pedicled radius with the 1st,2nd intercompartmeiilal supraretinacular arteries has been designed to treat nonunion of scaphoid fractures in 23 cases since 1997.Results All cases were followed up from 6 months to 3 years and their fractured seaphoids got united 3 to 7 months after the operation.The bony union rate was 100%.Rate of excellent and good restoration of normal wrist function was 95.7%.Conclusion This method for treatment of nonunion of scaphoid fractures is re commendable,for it is simple to manage,less invasive,and effective.
出处
《中华创伤骨科杂志》
CAS
CSCD
2003年第2期106-108,111,共4页
Chinese Journal of Orthopaedic Trauma
关键词
伸肌
室间支持
上动脉蒂桡骨瓣
治疗
腕舟骨骨不连
临床资料
Scaphoid nonunion
The 1st, 2nd interrompartmetilal supraretinacular arteries
Radius
Rone transplantation
Microsurgery
