摘要
目的：探讨掌侧切开顺行双螺钉固定治疗Herbert B2型腕舟骨骨折的临床及功能疗效。方法：自2005年12月至2010年6月，应用掌侧切开双螺钉顺行固定技术治疗18例Herbert B2型腕舟骨骨折患者，男14例，女4例；年龄21～52岁，平均33．11岁。术后通过X线检查评价其骨折愈合情况，采用改良Mayo腕关节功能评分评价腕关节功能。结果：18例患者获随访，平均随访时间（25．06±4．00）个月，骨折愈合时间（3．55±0．65）个月。18例患者术后4个月腕关节疼痛情况、活动范围、握力均优于术前（P＜0．05）。改良Mayo腕关节功能评分由术前42．78±7．32改善至术后4个月的93．89±5．83，术后4个月各项评分及总分均明显优于术前（P＜0．05），优9例，良9例。结论：应用掌侧切开顺行固定技术治疗Herbert B2型腕舟骨骨折，其临床及功能疗效可靠。
Objective：To explore the clinical and function efficacy of the treatment of Herbert B2 type scaphoid fracture through volar approach with double screws prograde internal fixation. Methods：From December 2005 to June 2010,18 pa-tients with Herbert B2 type scaphoid fracture were treated with double screws prograde internal fixation through volar ap-proach,including 14 males and 4 females with an average age of 33.11 years （ranged from 21 to 52 years）. The fracture heal-ing situation was evaluated by X ray examination. Functional outcome was assessed by using Modified Mayo wrist score. Re-sults： All patients were followed up with a mean time of （25.06 ±4.00） months. The bone healing time was （3.55 ±0.65） months. The pain,passive range of motion,grip of wrist were improved at 4 months after operation （P〈0.05）. The Mayo wrist score were improved from preoperative 42.78±7.32 at 4 months after operation （93.89±5.83）（P〈0.05）,the results were excel-lent in 9 cases and good in 9 cases. Conclusion：Volar approach with double screws prograde internal fixation is an efficacy and safety surgical technique for Herbert B2 type scaphoid fracture.
出处
《中国骨伤》
CAS
2014年第3期203-206,共4页
China Journal of Orthopaedics and Traumatology
关键词
腕骨
舟骨
腕损伤
骨折固定术
内
Carpal bones
Scaphoid bone
Wrist injuries
Fracture fixation,internal
