C臂机引导下经皮背侧入路Herbert螺钉治疗腕舟骨B2型骨折的疗效观察

Observation on the clinical efficacy of Herbert screws through C-arm guided percutaneous dorsal approach in the treatment of B2 type wrist scaphoid fractures

目的探讨C臂机引导下经皮背侧入路Herbert螺钉治疗腕舟骨B2型骨折的效果.方法对自2018年8月至2023年8月我院收治的11例腕舟骨B2型骨折患者行空心Herbert螺钉微创治疗,使用视觉模拟评分法(visual analogue scale,VAS)和改良Mayo腕关节评分(modified Mayo wrist score,MMWS)评估患者手术前后临床症状及腕关节功能.结果11例患者均顺利完成手术并获得完整随访,时间为6~12个月,平均9.6个月.骨折临床愈合时间为11~16周,平均14.2周.术后患者VAS(1.55±0.69)分和MMWS评分(89.55±7.89)分,均较术前VAS(5.45±0.93)分和MMWS评分(55.45±6.88)分有明显改善,差异有统计学意义(P<0.05).结论C臂机引导下经皮背侧入路Herbert螺钉治疗腕舟骨B2型骨折能够有效改善患者临床症状及腕关节功能,帮助患者恢复正常生活.

Objective To investigate the clinical efficacy of Herbert screws through C-arm guided percutaneous dorsal approach in the treatment of B2 type wrist scaphoid fractures.Methods From August 2018 to August 2023,11 patients with B2 type wrist scaphoid fractures admitted to our hospital were treated with hollow Herbert screws for minimally invasive treatment.The clinical symptoms and wrist function of the patients before and after surgery were evaluated using visual analogue scale(VAS)and modified Mayo wrist score(MMWS).Results All 11 patients successfully completed the surgery and received complete follow-up for 6 to 12 months,with an average of 9.6 months.The clinical healing time of fractures was 11 to 16 weeks,with an average of 14.2 weeks.The postoperative patient's VAS(1.55±0.69)score and MMWS score(89.55±7.89)score were significantly improved compared to the preoperative VAS(5.45±0.93)score and MMWS score(55.45±6.88)score,and the difference was statistically significant(P<0.05).Conclusion The Herbert screws through C-arm guided percutaneous dorsal approach can effectively improve the clinical symptoms and wrist joint function of patients with B2 type scaphoid fractures,and help them return to normal life.