可活动外固定支架结合Anchor钉治疗腕关节脱位  

Treatment of wrist joint dislocation by movable external fixator and Anchor screws

作　　者：尹自飞[1] 韩培[1] 柴益民[1] 蒋垚[1] 

机构地区：[1]上海交通大学附属第六人民医院骨科,上海200233

出　　处：《临床骨科杂志》2012年第1期80-82,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨应用可活动外固定支架结合Anchor钉治疗腕关节脱位的可行性及治疗效果。方法对16例腕关节脱位患者进行腕关节可活动外固定支架固定,同时切开复位,加压空心钉固定骨折,Anchor钉修复腕骨间韧带和桡腕韧带,克氏针临时固定腕骨。结果随访3～6个月,16例患者均基本恢复腕关节功能,未出现再脱位、舟骨月骨坏死等。采用Cooney评价标准:优7例,良7例,可2例。结论可活动外固定支架结合Anchor钉治疗腕关节脱位可有效固定腕关节,韧带修复可靠,利于破损韧带愈合及促进早期逐步功能锻炼,疗效满意。Objective To discuss feasibility and clinical result of wrist joint dislocation by movable external fixator and Anchor screw. Methods 16 cases of wrist joint dislocations were treated with movable external fixators, open re- duction, and cannulated screws fixation of fracture. Anchor screws were used to repaire intercarpal and radiocarpal lig- aments and Kirschner wire fixing fracture temperately. Results All cases were followed up for 3 ~6 months. 16 pa- tients recoveried wrist joint functions basically, and no dislocations and osteonecrosis were found. Based on Cooney＇s clinical scoring system,the scores of our series were 7 excellent,7 good and 2 fair. Conclusions Treatment of wrist joint dislocations by movable external fixator and Anchor screw can fix wrist joint effectively, repairing ligaments relia- bly and allow function movements early.

关 键 词：可活动外固定支架 Anchor钉 腕骨脱位 切开复位 

分 类 号：R684.74[医药卫生—骨科学] R687.4[医药卫生—外科学]