《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (08): 776-777.

• 临床研究 • 上一篇    下一篇

骨锚及空心钉在经舟骨月骨周围脱位中的应用

张祥翊; 王拥军; 肖颖锋; 周喆刚; 彭艳斌; 王全震   

  1. 北京大学深圳医院显微手外科,广东深圳市 518036
  • 收稿日期:2008-04-15 出版日期:2008-08-01 发布日期:2008-08-01

Application of Bone Anchor and AO/ASIF Hollow Screw in Treatment of Trans-scaphoid Perilunar Dislocation

ZHANG Xiang-yi,WANG Yong-jun, XIAO Ying-feng, et al   

  1. The Department of Hand Surgery, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong, China
  • Received:2008-04-15 Published:2008-08-01 Online:2008-08-01

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摘要： 目的探讨骨锚和空心钉联合应用于经舟骨月骨周围脱位的临床疗效。方法对8例经舟骨月骨周围脱位患者采用Depuy Mitek骨锚联合AO/ASIF空心钉手术治疗。术后随访6～24个月,平均(11.1±5.3)个月,采用Cooney评价标准评价疗效。结果8例患者的疗效为优5例、良2例、可l例。6例患者术后关节疼痛减轻,关节活动度及稳定性有不同程度提高。术后X线检查显示无骨折不愈合,腕骨间对应关系良好,未见内固定物松动、断裂,无创伤性关节炎表现。结论应用骨锚及空心钉内固定治疗经舟骨月骨周围脱位手术操作简便,疗效可靠。

关键词: 骨折, 骨锚, 腕骨, 脱位, 月骨周围

Abstract: Objective To investigate the outcome of trans-scaphoid perilunar dislocation treated with bone anchor and AO/ASIF hollow screw.Methods Eight patients with trans-scaphoid perilunar dislocation were treated by Depuy Mitek bone anchor and AO/ASIF hollow screw.The postoperative follow-up period was 6～24 months(average 11.1±5.3 months).All patients were assessed by the Cooney's grading system.Results The outcomes of 8 patients were execellent in 5 cases,good in 2 cases,general in 1 case.6 cases got pain relief with an increase of range of motor and grip strength at certain drgree.Postoperative roentgenogram displayed congruity among wrist bones,with no fracture disunion,no loose internal fixation and no traumatic arthritis.Conclusion The bone anchor and hollow screw have advantages as simple-manipulated and reliable for treating trans-scaphoid perilunar dislocation.

Key words: fractures, bone anchor, carpal bone, dislocation, perilunar