逆行可吸收拉力螺钉内固定治疗腕舟骨骨折  

Application of absorbable screw in treatment of scaphoid fracture by retrograde internal fixation

作　　者：洪加源[1] 康两期[1] 丁真奇[1] 郭林新[1] 林斌[1] 郭志民[1] 

机构地区：[1]解放军第175医院全军创伤骨科中心厦门大学附属东南医院,福建漳州363000

出　　处：《中国骨伤》2009年第11期822-823,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨逆行可吸收拉力螺钉内固定治疗腕舟骨骨折的手术疗效。方法:2001年12月至2007年12月,18例腕舟骨骨折,男12例,女6例;年龄17～40岁,平均26岁。腕舟骨腰部骨折10例,近端骨折8例。采用逆行可吸收拉力螺钉内固定治疗。结果:18例患者获随访,时间12～36个月,平均25个月。18例中有17例愈合,1例不愈合,平均愈合时间为13周,平均腕关节活动度为健侧的90%,握力为健侧的95%。14例无疼痛,3例轻度疼痛,另外1例不愈合有中度疼痛,除1例不愈合外,其余都能胜任原工作。按Cooney评分标准:总评分由术前的(68.2±1.5)分提高到术后的(88.7±1.2)分,术后各项评分明显高于术前(P<0.05);优9例,良8例,差1例。结论:逆行可吸收拉力螺钉内固定治疗腕舟骨骨折手术操作简单,对腕舟骨残存的血运破坏小,固定牢靠,可缩短骨折愈合时间及提高骨折愈合率,是治疗腕舟骨骨折的一种有效的手术方法。Objective：To evaluate the surgical effects of treatment of scaphoid fracture with retrograde internal fixation using absorbable screw. Methods：From December 2001 to December 2007,18 cases of scaphoid fracture were treated with absorbable screw by retrograde internal fixation. There were 12 males and 6 females with an average age of 26 years ranging from 17 to 40 years. Ten cases were medium fractures of scaphoid adn 8 cases were proximal fraxtures. Results：All patients were followed up for from 12 to 36 months （means 25 months）. Among them,17 cases were union and 1 case was nonunion. The mean time of union was 13 weeks. The mean range of motion of wrist was about 90% and mean scratch strength of wrist was about 95% to fine lateral. There were no pain in 14 cases,and slight pain in 3,medial pain in 1 casea of ununion. According to Cooney＇s clinical evaluation system,the score was increased from（68.2±1.5） before operation to（88.7±1.2） after operation,the postoperative score was higher than preoperative remarkable;9 patients were fine,8 were good and 1 was bad. Conclusion： This technology had some advantage such as simple surgery,decreasing demonstrate rest blood circulation,stable fixation,reducing bone healing time and increasing healing time. It is an effective way to treat scaphoid fracture.

关 键 词：舟骨 骨折 骨折固定术 内 可吸收性植入物 

分 类 号：R681.5[医药卫生—骨科学] R683.41[医药卫生—外科学]