摘要
目的:报道采用自行设计的减压和血管束植入法,治疗月骨无菌性坏死的疗效。方法:对月骨进行钻洞减压和骨间前动、静脉腕背支植入的方法,共治疗11例。结果:平均随访36个月,系列随访X线片显示:坏死的月骨不断地被修复,密度明显下降,骨囊性变皆完全消失。全部患者均恢复了原工作和劳动。结论:结果证实,采用该术式治疗月骨无菌性坏死,业已坏死的月骨确已获得新生。对30例成人上肢标本的应用解剖研究结果表明,骨间前动、静脉腕背支解剖位置恒定,其长度足够转位移植于月骨。
<Abatract>Objective: To introduce a method of decompression and vascular bundle implantation for the treatment of aseptic necrosis of the lunate. Methods: The procedures included decompression by means of drilling holes and implantation of vascular bundle containing the dorsal carpal branches of anterior interosseous artery and vein into the lunate. 11 patients were treated. Anatomical study was undertaken on 30 adult cadaverous upper limbs. Results: The follow-up period averaged 36 months. Serial roentgenographic evaluation revealed that necrosis of the lunate bone was repaired continuously. Bone density of the lunate decreased, cyst formation disappeared. All the patients returned to their former manual job. Anatomical study showed that the existence of the dorsal carpal branches of anterior inter-osseous artery and vein was permanent, and they were long enough to be transplanted into the lunate bone. Conclusion: The necrotized lunate had undergone reconstruction after treated by this technique.
出处
《中华手外科杂志》
CSCD
1996年第A00期16-19,共4页
Chinese Journal of Hand Surgery
关键词
月骨
骨坏死
血管移植
Lunate Bone necrosis Vascular transfer
