腕舟骨骨折背伸位与中立位/掌屈位固定临床疗效观察  

The Effect on Treatment of 107 cases with Fracture in the Scaphoid Bone through Fixation of Wrist Joint in Extension Posture and Nature of Flexion Posture

作　　者：孟武庆 齐进如[1] 左进步[1] 吴平林[1] 杨林峰 赵斌[1] 刘朋[1] 王京丽 

机构地区：[1]武警北京总队医院外二科,100027

出　　处：《骨与关节损伤杂志》2000年第5期344-346,共3页The Journal of Bone and Joint Injury

摘　　要：目的　报告背伸位与中立位或掌屈位固定治疗腕舟骨骨折的疗效。方法　系统地观察了 10 7例采取管形石膏治疗的患者 ,其中背伸位 6 3例 ,中立位或掌屈位 44例 ,随访 6～ 34个月 ,优良率背伸组分别为 87 5 % (无移位组 2 8/ 32 )和 74 2 %(移位组 2 3/ 31) ,中立位或掌屈组分别为 96 3% (无移位组 2 6 / 2 7)和 88 2 % (移位组 15 / 17)。结果　同时发现两大组在骨折愈合时间、腕关节功能恢复程度、复工率及致残率等方面有明显差异 (P <0 0 1)。结论　腕中立或掌屈位石膏制动有利骨折线的闭合和愈合 ,明显提高优良治愈率 。Objective This article reported the effect on treatment of 107 cases with scaphoid bone fracture through fixation of wrist joint in extension posture and nature or flexion posture.Methods We have systematically observed 107 patients who were treated by tubular plaster.Among them 63 cases were fixed in dorsi-extension,44 cases were fixed in palmar flexion or neutral.The follow-up time was from 6 months to 34 months.Results The rate of excellence in dorsiextension group is 87.5%(non-shift 28/32)and 74.2%(shift 23/31).The rate of excellence in neutral or palmar flexion group is 96.3%(non-shift 26/27)and 88.2%(shift 15/17).Simultaneously we found a marked difference between the two groups in the time of union,the degree of recovery in function,the rate of patients who return to work and the rate of those who are disabled and so on.Conclusions We believed that it is good for the closure and healing of a fracture to fix the wrist in neutral or palmar flexion by plaster.

关 键 词：腕舟骨骨折 背伸位 中立位 掌屈位 管形石膏固定 

分 类 号：R683.410.5[医药卫生—骨科学]