桡动脉茎突返支骨(膜)瓣移植治疗手舟骨陈旧性骨折  

Treatment of old scaphoid fracture with bone flap pedicled with the recurrent branch of radial artery to styloid process

作　　者：谢文伟[1] 侯之启[2] 利盛成 姚汉刚[1] 熊秉刚[1] 廖德允[1] 苏厂尧[1] 黎明华[1] 黎润超[1] 

机构地区：[1]石龙人民医院骨科,广东东莞523321 [2]广州市第一人民医院骨科,广州510180

出　　处：《中国临床解剖学杂志》2007年第3期347-349,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的:前瞻性分析应用桡动脉返支茎突骨(膜)瓣移植+普通加压螺钉固定治疗难愈性陈旧性手舟骨骨折的方法及效果。方法:对12例腰部、近心端骨折,病史虽短,但估计骨愈合机会少或出现骨不连现象的陈旧性手舟骨骨折患者,行腕背切口骨折复位,普通加压螺钉固定,沿舟骨纵轴跨越骨折线凿出同等大小的骨槽,应用桡动脉返支茎突骨(膜)瓣转位植入,并随访其疗效。结果:术后12例均获随访,时间6～28月。疗效按评价标准分析:优9例,良3例,差0例,优良率达100%。结论:应用桡动脉返支茎突骨(膜)瓣移植加普通加压螺钉固定治疗陈旧性手舟骨骨折,具有操作简单,疗效确切,副作用损伤少,花费少的优点,值得临床推广;尤其对估计骨愈合机会少的病例,应积极地行前瞻性手术治疗。Objective：To evaluate the effects of the treatment of old scaphoid fracture by bone flap pedicled with the recurrent branch of radial artery to styloid process and screw internal fixation. Methods： 12 cases suffering from the old fracture of the proximal end of scaphoid were selected, and treated with bone flap pedicled with the recurrent branch of radial artery to styloid process, which were grafted into the corresponding slot chiseled along the vertical axis of scaphoid crossing the fracture line, and then screw internal fixation were performed. Results： 12 cases were followed up about 6 to 28 months after operation. According to evaluation criterion, 9 patients were excellent and 3 fine. Conclusions：Bone flap pedicled with the recurrent branch of the radial artery to styloid process and compression screw fixation is effective method for treating scaphoid fractures, which is worthy to be spread for its little side effects and certain curative effects.

关 键 词：手舟骨 骨折 桡动脉返支 桡骨茎突 骨瓣 移植 

分 类 号：R683.41[医药卫生—骨科学]