摘要
舟骨骨折是临床中最常见的腕骨骨折,占腕骨骨折的60%~70%,不愈合率高,如不及时进行治疗,容易造成舟月关节不稳定,进而导致头状骨进行性塌陷,综合表现为桡骨茎突、桡舟关节、头月关节和全腕关节退行性关节病,最终导致腕关节功能障碍。因此,对于舟骨骨折不愈合的治疗方法越来越受到骨科医生的关注。植骨术在治疗舟骨骨折不愈合的临床应用最为广泛和实用,近年也陆续有新术式诞生,本文主要对各类植骨术治疗舟骨骨折不愈合的研究进展及优、缺点作一综述。
In all the carpal fractures,scaphoid fracture is the most common in clinic(from 60%to 70%in proportion)and likely leads to nonunion.If nonunion is not treated in time,it probably causes instability of the scaphoid lunate joint,further leading to scapholunate advanced collapse.Its comprehensive manifestations include degenerative arthropathy of radial styloid process,radial scaphoid joint,capitulolunate joint and even total wrist joint,eventually leading to wrist joint dysfunction.Therefore,more and more attention has been paid to treatments of scaphoid fracture nonunion.Bone grafting is the most common practical treatment,but new surgical procedures have emerged in recent years.This article thus reviews the research advances in bone grafting for scaphoid fracture nonunion,commenting on the advantages and disadvantages of various techniques.
作者
刘泳君
闫立伟
周翔
戚剑
Liu Yongjun;Yan Liwei;Zhou Xiang;Qi Jian(Department of Microsurgery,Trauma and Hand Surgery,The First Affiliated Hospital,Sun Yat-Sen University,Guangzhou 510080,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2021年第5期453-457,共5页
Chinese Journal of Orthopaedic Trauma
关键词
舟骨
骨折
不愈合
骨移植
带血管蒂骨瓣移植
Scaphoid bone
Fractures,ununited
Bone transplantation
Vascularized bone graft
