桡骨远端骨膜转位联合松质骨植骨治疗陈旧性舟状骨骨折  

Treatment of old scaphoid fractures by vascularized periosteal graft from distal radius combined with autogous cancellous bone

作　　者：陆大明[1] 成超[1] 陆振良[1] 陆向荣[1] 

机构地区：[1]昆山市第一人民医院手外科,江苏昆山215300

出　　处：《实用手外科杂志》2013年第4期327-329,共3页Journal of Practical Hand Surgery

摘　　要：目的评价桡骨远端骨膜瓣转位联合松质骨植骨治疗陈旧性舟状骨骨折的临床疗效。方法2010年1月-2011年10月对12例陈旧性舟状骨骨折患者行桡骨远端骨膜瓣转位联合松质骨植骨治疗，并采用改良Mayo腕关节功能评分评估患者术前、术后腕关节功能。结果12例均获得随访时间12-17个月，优良率为90．9％。治疗后腕关节功能得到改善。结论桡骨远端骨膜瓣转位联合松质骨植骨治疗陈旧性舟状骨骨折，手术过程相对简单，疗效满意。Objective To evaluate the treatment outcomes of old scaphoid fracture with vascularized periosteal graft from distal radius combined with autogous cancellous bone. Methods From January 2010 to October 2011, 12 cases of old scaphoid fracture were treated with vascularized periosteal graft based on 1,2 intercompartmental supraretinacular artery combined with autogous cancellous bone in our hospital. Their wrist joint function was evaluated with modified Mayo score system before and after operation. Results The therapeutic time were from 12 to 17 months, the good rate of the effect was 90.9%. Wrist joint function was improved after treatment. Conclusion Old scaphoid fracture can be well treated with vascularized periosteal graft from distal radius combined with autogous cancellous bone. A simple arthrolysis during the procedure can produce satisfactory results.

关 键 词：舟状骨 陈旧性骨折 骨膜 

分 类 号：R683.41[医药卫生—骨科学]