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带蒂骨瓣转移治疗腕舟骨骨不连
Hits: 1972   Download times: 1328   Received:September 10, 2001    
作者Author单位UnitE-Mail
吴琳 WU Lin 邳州市人民医院,江苏邳州221300 The People′s Hospital of Pizhou Jiangsu Pizhou,221300  
宋良玉 SONG Liang yu 邳州市人民医院,江苏邳州221300 The People′s Hospital of Pizhou Jiangsu Pizhou,221300  
康久杰 KANG Jiu jie 邳州市人民医院,江苏邳州221300 The People′s Hospital of Pizhou Jiangsu Pizhou,221300  
方光荣 青岛海军401医院全军显微外科中心  
何霭民 西安红十字会医院手外科中心  
期刊信息:《中国骨伤》2002年15卷,第9期,第526-528页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:报告采用带蒂骨瓣转移治疗腕舟骨骨不连的疗效。

方法:1995~2000年,对48例腕舟骨骨不愈合,采用带血管蒂、筋膜蒂及肌蒂移位治疗。石膏固定3个月,去石膏后辅以康复治疗。

结果:随访7个月~5年,术后46例达骨性愈合,腕部疼痛、无力症状减轻或消失。功能按刘树清评定标准,优良率为95.8%。

结论:带蒂骨瓣成骨作用强,能促进骨折愈合,适用于腕舟骨骨不连的治疗,是一种有效的治疗方法。
[关键词]:骨折,不愈合  骨移植  
 
Transposition of pedicled bone flap for non-union of carpal scaphiod fracture
Abstract:

Objective:To explore the result of treatment of non union of carpal scaphoid fracture by transfer of pedicled bone flap

Methods:From 1995 to 2000,48 case of non union of carpal scaphoid fracture were treated by transfer of vascular fascial and muscular pedicled bone flap.Postoperative immobilization was instituted for 3 months followed by rehabilitation.

Results:48 cases were followed from 7 months to 5 years.Bone union was achieved in 46 cases,complete relief of the carpal joint pain and powerless were obtained.According to functional evaluation criteria by LIU Shu qing,the total fine rate was 95.8%.

Conclusions:The pedicled bone graft is able to promote healing of the fracture,and is especially suitable in the cases of non union of carpal scaphoid bone.
KEYWORDS:Fractures,ununited  Bone transplantation  Wrist
 
引用本文,请按以下格式著录参考文献:
中文格式:吴琳,宋良玉,康久杰,方光荣,何霭民.带蒂骨瓣转移治疗腕舟骨骨不连[J].中国骨伤,2002,15(9):526~528
英文格式:WU Lin,SONG Liang yu,KANG Jiu jie.Transposition of pedicled bone flap for non-union of carpal scaphiod fracture[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(9):526~528
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