带线骨锚钉重建腕背韧带治疗腕关节骨折脱位  

Reconstruction of dorsal carpal ligament with suture bone anchor in the treatment of fracture and dislocation of wrist joint

作　　者：闫立强 胡坤然 王丰羽 邵新中[2] 王欣彤[1] 陆海军 赵桂林[1] YAN Li-qiang;HU Kun-ran;WANG Feng-yu;SHAO Xin-zhong;WANG Xin-tong;LU Hai-jun;ZHAO Gui-lin(Dept of Orthopaedics,the Second Hospital of Xingtai Medical College,Xingtai,Hebei 054000,China)

机构地区：[1]邢台医学高等专科学校第二附属医院骨科,河北邢台054000 [2]河北医科大学第三医院手外科,河北石家庄050000

出　　处：《临床骨科杂志》2024年第1期70-74,共5页Journal of Clinical Orthopaedics

基　　金：河北省邢台市科技局计划项目(编号:2019ZC292)。

摘　　要：目的探讨带线骨锚钉重建腕背韧带治疗腕关节骨折脱位的疗效。方法将45例腕关节骨折脱位患者按照治疗方法不同分为观察组(采用带线骨锚钉重建腕背韧带治疗,20例)和对照组(采用直接缝合腕背韧带治疗,25例)。记录两组术中出血量、手术时间、患肢肿胀率、疼痛VAS评分、腕关节活动度。采用Cooney评分系统评价临床疗效。结果患者均获得随访,时间12~24个月。术中出血量、手术时间两组比较差异均无统计学意义(P>0.05)。术后2个月,患肢肿胀率和疼痛VAS评分观察组均低于对照组(P<0.05)。术后12个月,腕关节活动度观察组均明显大于对照组(P<0.01);采用Cooney评分系统评价的优良率观察组高于对照组(P<0.05)。结论带线骨锚钉重建腕背韧带是治疗腕关节骨折脱位的有效方法。Objective To investigate the effect of the reconstruction of dorsal carpal ligament with suture bone anchor in the treatment of fracture and dislocation of wrist joint.Methods The 45 patients with fractures and dislocations of wrist joints were divided into observation group(20 cases were treated with reconstruction of the dorsal carpal ligament using suture bone anchors)and control group(25 cases were treated with direct suture of the dorsal carpal ligament),according to different treatment methods.The intraoperative bleeding volume,operation time,the swelling rate of the effected limbs,pain VAS,wrist range of motion were recorded in the the two groups.Cooney scoring system was used to evaluate clinical efficacy.Results All patients were followed up for 12~24 months.There were statistical differences in the intraoperative bleeding volume,operation time between two groups(P>0.05).At 2 months postoperation,the swelling rate of the effected limbs,pain VAS of the observation group were both lower than those of the control group(P<0.05).At 12 months postoperation,the wrist ranges of motion in the observation group were all larger than the control group(P<0.01);and the excellent-good rate evaluated with Cooney scoring system in the observation group was higher than the control group(P<0.05).Conclusions Reconstruction of dorsal carpal ligament injury with suture bone anchor is an effective treatment method for fracture and dislocation of wrist joint.

关 键 词：带线骨锚钉 腕关节骨折脱位 腕背韧带重建 

分 类 号：R683.41[医药卫生—骨科学] R684.7[医药卫生—外科学] R687.2[医药卫生—临床医学]