摘要
目的:评估改良背侧入路治疗经舟骨月骨周围脱位的疗效。方法:2005年6月-2012年6月,共18例经舟骨月骨周围脱位患者接受改良背侧入路的手术治疗。所有患者均为后脱位。结果:18例都得到随访,平均随访时间9个月。16例舟骨骨折一期愈合,腕关节功能恢复良好;1例出现骨不连,腕关节功能部分受限,1例术后2年出现舟骨坏死。采用Cooney评分法:优5例、良10例、可2例和差1例,优良率83.3%。结论:改良背侧入路治疗经舟骨月骨周围脱位,同时修复损伤的腕背侧关节囊、韧带。可早期提供腕舟骨稳固的固定,获得良好临床效果。
Objective：To evaluate the effect of the treatment of trans--scaphoid perilunate dislocation via modified dorsal approach. Methods：From June 2005 to June 2012, 18 cases of trans scaphoid perilunate dislocation were treated via modified dorsal approach and all the cases were posterior dislocation. Results： 18 cases obtained the follow-up and the average time was 9 months. 16 cases of scaphoid fracture were healed and the joint movement and functions were good. There was 1 non-union case with joint function limitation. The lunate necrosis was found in one case two years later. According to the Cooneys scoring system, 5 cases were excellent, 10 cases were good, 2 cases were fair and 1 case was poor, and the satisfactory rate was 83. 3%. Conclusion： The treatment of trans-scaphoid perilunate dislocation via modified dorsal approach and repairing of palmar ligment can provide reliable fixation and obtain a good recovery of the wrist function.
出处
《中国中医骨伤科杂志》
CAS
2013年第7期33-34,共2页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
腕骨
骨折脱位
内固定
Carpus
Dislocation
Internal fixation
