| 桡动脉茎突返支骨瓣移位治疗舟状骨不连 |
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| 作者 | Author | 单位 | Address | E-Mail |
| 邢志利 |
XING Zhi-Li |
台州市博爱医院手足外科,浙江 台州 318050 |
Department of hand surgery,the Boai Hospital of Taizhou,Taizhou 318050,Zhejiang,China |
kuakuaqin@sina.com |
| 孙捷 |
SUN Jie |
台州市博爱医院手足外科,浙江 台州 318050 |
Department of hand surgery,the Boai Hospital of Taizhou,Taizhou 318050,Zhejiang,China |
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| 诸葛天瑜 |
ZHUGE Tian-yu |
台州市博爱医院手足外科,浙江 台州 318050 |
Department of hand surgery,the Boai Hospital of Taizhou,Taizhou 318050,Zhejiang,China |
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| 谢玲丽 |
XIE Ling-li |
台州市博爱医院手足外科,浙江 台州 318050 |
Department of hand surgery,the Boai Hospital of Taizhou,Taizhou 318050,Zhejiang,China |
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| 吴维国 |
WU Wei-guo |
台州市博爱医院手足外科,浙江 台州 318050 |
Department of hand surgery,the Boai Hospital of Taizhou,Taizhou 318050,Zhejiang,China |
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| 罗靖致 |
LUO Jing-zhi |
台州市博爱医院手足外科,浙江 台州 318050 |
Department of hand surgery,the Boai Hospital of Taizhou,Taizhou 318050,Zhejiang,China |
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| 期刊信息：《中国骨伤》2010年，第23卷，第2期，第147-150页 |
| DOI：10.3969/j.issn.1003-0034.2010.02.024 |
| 基金项目: |
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中文摘要:
目的：探讨桡动脉茎突返支骨瓣移位治疗舟状骨不连的临床疗效。
方法：2002 年至2007年治疗舟状骨不连患者18例，男12例，女6例；年龄18～51岁，平均31.2岁。受伤至手术时间8～26个月，平均12.5个月。行桡动脉茎突返支为血供的桡骨瓣逆行移位嵌入舟状骨远近两端，交叉克氏针固定骨折及骨瓣，并切除桡骨茎突。术后石膏固定腕关节6～8周，去除石膏后行康复理疗和功能锻炼。X线示骨折愈合后拔除克氏针。
结果：18例中15例获随访，时间8～25个月，平均13个月。15例骨折全部愈合。愈合时间8～12周。根据Anderson成人前臂骨折治疗效果评价分级：优14例，良1例。
结论：桡动脉茎突返支骨瓣携带丰富血液循环，可使游离植骨爬行替代过程变为直接愈合过程。 |
| 【关键词】舟骨 骨折，不愈合 骨移植 |
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| Radial artery recurrent branch of styloid process bone flap transfer for treatment of scaphoid nonunion |
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ABSTRACT
Objective: To investigate the clinical efficacy of radial artery recurrent branch of the styloid process bone flap transfer for treatment of scaphoid nonunion.
Methods: From 2002 to 2007,18 patients with scaphoid nonunion included 12 males and 16 females with an average age of 31.2 years old ranging from18 to 51 years. Time from injury to operation was 8 to 26 months(averaged 12.5 months). Radial bone flap blood supply by radial artery recurrent branch of styloid process was embedded in retrograde scaphoid shift distance at both ends,Kirschner wire fixed on the bone flap and bone fractures,and the radial styloid process was resected. Cast gypsum immobilization in a neutral place of wrist were performed for 6 to 8 weeks,the rehabilitation of physical therapy and functional exercise were performed after removal. Kirschner wire were removed after X-ray showed fracture healing.
Results: Among them,15 cases were followed-up for from 8 to 25 months(means 13 months). All fractures healed. The healing time was 8 to 12 weeks. According to adult forearm fracture evaluation of Anderson the results were excellent in 14 cases,good in 1.
Conclusion: The radial artery recurrent branch of styloid process bone flap has a wealth of blood circulation,can make free grafting of the creeping substitution process directly into the healing process. |
| KEY WORDS Scaphoid Fractures,ununited Bone transplantation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 邢志利,孙捷,诸葛天瑜,谢玲丽,吴维国,罗靖致.桡动脉茎突返支骨瓣移位治疗舟状骨不连[J].中国骨伤,2010,23(2):147~150 |
| 英文格式: | XING Zhi-Li,SUN Jie,ZHUGE Tian-yu,XIE Ling-li,WU Wei-guo,LUO Jing-zhi.Radial artery recurrent branch of styloid process bone flap transfer for treatment of scaphoid nonunion[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(2):147~150 |
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