桡骨远端骨膜瓣转位治疗舟状骨骨折不愈合

Treatment of nonunion of scaphoid with transposition of distal radial periosteal flap

目的:探讨桡骨远端骨膜瓣转位治疗舟状骨骨折不愈合的临床效果。方法:采取桡骨远端骨膜瓣转位治疗舟状骨骨折不愈合21例,对患者术前、术后腕关节功能采用改良Mayo腕关节功能评分进行评估。结果:21例均获得随访,随访时间6～19个月,优良率为95.2%。比较治疗前后腕关节功能,差异有统计学意义(P<0.01)。结论:桡骨远端骨膜瓣转位是治疗舟状骨骨折不愈合的有效方法,其疗效满意。

Objective： To investigate the clinical efficacy of transposition of distal radial periosteal flap for treatment of scaphoid nonunion.Methods： Transposition of distal radial periosteal flap were underwent in 21 patients with nonunion of scaphoid,the wrist joint function was evaluated with modified Mayo score system before and after operation.Results： The follow-up time were from 6 to 19 months,the good rate of the effect was 95.2%.The wrist joint function was different statistically before and after treatment（P0.01）.Conclusion： Transposition of distal radial periosteal flap is effective and satisfactory for treating nonunion of scaphoid.