带筋膜蒂桡骨瓣移植治疗陈旧性舟状骨骨折的临床疗效观察  

Use of Fasciocutaneous Flap in Clinical Curative Effect of Radial Transplantation for Treatment of Old Scaphoid Fracture

作　　者：叶颂霖 

机构地区：[1]惠州华康骨伤医院,广东惠州516007

出　　处：《中国伤残医学》2016年第9期2-4,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：分析运用带筋膜蒂桡骨瓣移植治疗陈旧性舟状骨骨折的临床疗效。方法：选取我院自2011年6月～2014年6月收治的11例腕舟状骨陈旧性骨折的患者，运用带筋膜蒂桡骨瓣移植治疗。结果：11例患者均获得随访，随访时间11～30个月，平均随访18．8个月，术后6个月从X线检查骨折愈合情况，腕关节疼痛情况及腕关节活动度三方面与术前比较，术后6个月改善明显，经统计学处理有统计学意义。结论：通过术前与术后的对比，发现带筋膜蒂桡骨瓣移植能有效治疗陈旧性舟状骨骨折，使骨折转化为2期愈合，减轻腕关节疼痛，使腕关节的活动功能得到改善，是治疗腕舟状骨不愈合的有效方法。Objective ： To analyze the use of fasciocutaneous flap in clinical curative effect of radial transplantation for treatment of old scaphoid fracture. Methods： In our hospital from June 2011 to June 2014 were 11 cases of old scaphoid fractures of the wrist of patients, with the use of fascia pedicled radial flap transplantation for the treatment. Results： 11 patients were followed up, follow - up time ranged from 11 to 30 months, the patients were followed up for an average of 18.8 months. Postoperative 6 months from X -ray examination of fracture healing, wrist joint pain and wrist activity of three aspects and preoperative, postoperative 6 months significantly improved. By statistical treatment treatment was statistically significant. Conclusion： the preoperative and postoperative contrast found with fascial pedi-cle bone flap transplantation can be effective in the treatment of old scaphoid fracture, the fracture into the second phase of healing, relieve the pain of wrist joint, the function of wrist joint activities will be improved, is an effective method for treatment of scaphoid nonunion.

关 键 词：带筋膜蒂 桡骨瓣 陈旧性 舟状骨骨折 

分 类 号：R683.41[医药卫生—骨科学]