摘要
目的 报道创伤性腕不稳定的手术方法。方法 16例腕不稳定中,表现为舟月骨分离6例,以腕背侧镶嵌不稳定(DISI)为主10例。对于舟月骨分离及DISI采用舟月骨间韧带重建手术6例,舟月头骨固定手术3例;对于DISI采用背侧关节囊固定术3例,桡骨远端截骨矫正术4例。结果 术后观察1至2年患者疼痛明显缓解,手握力提高,日常生活满意度改善,功能较术前恢复。结论积极采取手术治疗腕不稳定,重建损伤韧带或纠正畸形,是治疗腕关节不稳定有效的方法。
Objective To report methods of operative treatment of traumatic instability of wrist. Methods Among 16 cases of carpal instability, 6 cases were scapholunate dissociation. 10 cases mainly presented with dorsal intercalated segmental instability (DISI). 6 cases with scapholunate dissociation or DISI were treated by scapholunate interosseous ligament reconstruction and 3 cases with scapholunocapitate arthrodesis; Dorsal capsulodesis was used in 3 cases with DISI and distal radius osteotomy in 4. Results There were significant relief of pain and improvement in grasping power, ability in daily living and range of wrist motion after operation. Conclusion It is suggested that operative treatment is an effective way to treat carpal instability.
