改良Kapandji手术在治疗尺桡骨远端陈旧性骨折中的应用  

Modified Kapandji Procedure on the Obsolete Fracture of the Distal End of Radius and Ulna

作　　者：蔡培华[1] 何耀华[1] 张先龙[1] 于仲嘉[1] 

机构地区：[1]上海交通大学附属第六人民医院,上海200233

出　　处：《中国矫形外科杂志》2003年第16期J001-J002,共2页Orthopedic Journal of China

摘　　要：目的 :观察应用改良Kapandji手术治疗尺桡骨远端陈旧性骨折的治疗效果。方法 :自 1996年 9月～ 2 0 0 1年 9月共收治尺桡骨远端陈旧性骨折 15例。采用改良Kapandji手术方法以矫正骨折畸形、改良前臂旋转功能。根据术后前臂旋转活动范围、截骨区旋转痛、冲击痛以及手腕部功能和负重情况有无改善等评价其临床效果。结果 :13例患者获良好功能恢复 ,优良率为86 6%。无感染、骨不连等发生。结论 :改良Kapandji手术是治疗尺桡骨远端陈旧性骨折伴有前臂旋转痛和功能受限的疗效好、后遗症少的手术方法。Objective:To observe the modified Kapandji operative effect on the obsolete fracture of the distal end of radius and ulna.Method:Fifteen cases with the fracture of distal end of the radius and ulna were reviewed from Sep. 1996 to Sep. 2001.Used the modified Kapandji procedure to correct the fracture deformity and improve the rotation function of forearm.To evaluate the clinical effects according to the range of forearm,rotation and impaction pain on the osteotomy area,and the function or load transmission of wrist joint.Result:Among the 15 cases,13 cases were excellent in function,and excellent rate was 86.6%,no infection and nonunion.Conclusion:It is an effective and less complicative operation to be adopted modified Kapandji procedure on the fracture of the distal end of the radius and ulna.

关 键 词：骨折 脱位 截骨 关节融合 

分 类 号：R687[医药卫生—骨科学]