摘要
目的探讨骨锚和空心钉联合应用于经舟骨月骨周围脱位的临床疗效。方法对8例经舟骨月骨周围脱位患者采用Depuy Mitek骨锚联合AO/ASIF空心钉手术治疗。术后随访6～24个月,平均（11.1±5.3）个月,采用Cooney评价标准评价疗效。结果8例患者的疗效为优5例、良2例、可l例。6例患者术后关节疼痛减轻,关节活动度及稳定性有不同程度提高。术后X线检查显示无骨折不愈合,腕骨间对应关系良好,未见内固定物松动、断裂,无创伤性关节炎表现。结论应用骨锚及空心钉内固定治疗经舟骨月骨周围脱位手术操作简便,疗效可靠。
Objective To investigate the outcome of trans-scaphoid perilunar dislocation treated with bone anchor and AO/ASIF hollow screw.Methods Eight patients with trans-scaphoid perilunar dislocation were treated by Depuy Mitek bone anchor and AO/ASIF hollow screw.The postoperative follow-up period was 6～24 months（average 11.1±5.3 months）.All patients were assessed by the Cooney＇s grading system.Results The outcomes of 8 patients were execellent in 5 cases,good in 2 cases,general in 1 case.6 cases got pain relief with an increase of range of motor and grip strength at certain drgree.Postoperative roentgenogram displayed congruity among wrist bones,with no fracture disunion,no loose internal fixation and no traumatic arthritis.Conclusion The bone anchor and hollow screw have advantages as simple-manipulated and reliable for treating trans-scaphoid perilunar dislocation.
出处
《中国康复理论与实践》
CSCD
2008年第8期776-777,F0003,共3页
Chinese Journal of Rehabilitation Theory and Practice
关键词
骨折
骨锚
腕骨
脱位
月骨周围
fractures
bone anchor
carpal bone
dislocation
perilunar
