腕舟骨骨折应用带血管筋膜蒂桡骨茎突骨瓣转位植入治疗的临床观察

Clinical observation of transposition and implant treatment of scaphoid ftacture with b1ood vessel with fascia of the styloid process of the radius

目的 探讨并观察带血管筋膜蒂桡骨茎突骨瓣转位植入治疗腕舟骨各类型骨折的方法和临床疗效. 方法 对本组33例腕舟骨新鲜移位不稳定骨折、陈旧和骨不愈合骨折均应用了带血管筋膜蒂桡骨茎突骨瓣转位植入术,并配合内固定、石膏外固定治疗. 结果 术后随访10-24个月,经影像学检查,本组33例骨折全部愈合,腕关节功能良好.结论 带血管筋膜蒂桡骨茎突骨瓣转位植入术式,在患部另建立了一组独立的血供系统,是治疗腕舟骨移位不稳定型新鲜骨折、陈旧骨折、骨不连和预防骨不连发生的有效方法.

Objective To investigate the technique and effects of treatment of All kinds of fracture with b1ood vessel with fascia of the styloid process of the radius. Methods Treatment with b1ood vessel with fascia of the styloid process of the radius in 33 patients of carpal scaphoid with Fresh displaced unstable fractures, old fractures and ununited fracture. The treatment was combined with internal fixation for the treatment and Plaster external fixation. Results The patient were followed up after the operation for 10 to 24 months. By imaging examination, we confirm that 11 patients with Fresh displaced unstable fractures and 22 patients with old and ununited fracture were cured and the function of the wrist joint were good. Conclusion The technique of treatment of scaphoid ftacture with b1ood vessel with fascia of the styloid process of the radius is a effective method for patient with scaphoid ftacture of Fresh displaced unstable fractures, old fractures and ununited fracture and it can prevent Nonunion for an independent blood supply system was established in the wrist.