摘要
[目的]评价采用带旋前方肌桡骨膜瓣移植治疗腕舟骨骨不连的疗效。[方法]腕桡掌侧切口，取带旋前方肌的近端桡骨膜瓣5．0cm×2．5cm，将桡骨膜瓣翻转包裹适合的桡骨条植入舟骨骨槽内，术后患手管形石膏外固定3个月。[结果]用该法治疗腕舟骨骨折骨不连18例，术后随访15例，随访6个月至6年，平均2年4个月，根据刘树清等功能评定标准评定，结果为优14例，良1例。骨不连愈合时间2～4个月，腕关节功能完全恢复正常。[结论]旋前方肌桡骨膜瓣具有提供骨质和丰富血运又可成骨的双重功能，有效地促进了骨折愈合，是治疗腕舟骨骨折不愈合的有效方法，且操作简便，适合在各级医院推广应用。
[Objective]To evaluate the effertiveness of using flap of radial periostenm with muscle pronator quadratus grafted on carpal scaphoid bone nonunion. [Methods]A 5.0 cm× 2.5cm proximal radius periosteum with muscle pronator quadratus pedicle was harvested in the palm of the hand and then the periosteum was turned over and packed the suitable radius chip into scaphoid space. The hand was immobilized in a plaster cast for 3 months after operation. [Results]Eighteen cases of carpal scaphoid bone nonunion were treated and 15 cases were followed-up for an average of 2.3years（6 months to 6 years）. Based on the function evaluation standard of LIU Shuqing, 14 cases had excellent and I good results, All 15 cases had bone union 2 to 4 months after operation and complete restoration of wrist function was arhieved. [Conclusion]Flap of radial periosteum with muscle pronator quadratus has double functions of supplying blood circulation and bone formation to scaphoid bone and osteogenesis. This method is effective, can be recommended for wide use in basic unit.
出处
《医学临床研究》
CAS
2007年第3期428-429,共2页
Journal of Clinical Research
