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旋前方肌骨膜瓣移位治疗陈旧性下尺桡关节脱位
Hits: 2031   Download times: 1448   Received:March 03, 2004    
作者Author单位UnitE-Mail
黄久勤 HUANG Jiu-qin 商丘市第一人民医院骨科, 河南商丘476100 People′s Hospital of Shangqiu  
期刊信息:《中国骨伤》2004年17卷,第11期,第676-677页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨旋前方肌骨膜瓣移位治疗陈旧性下尺桡关节脱位的疗效。

方法:从1992年以来,收治23例陈旧性下尺桡关节脱位患者,应用旋前方肌骨膜瓣移位手术治疗,将旋前方肌尺骨附着点部骨膜切开,骨膜下剥离形成旋前方肌骨膜瓣,将其向尺骨背侧移位与骨膜重叠缝合,石膏外固定4~6周。

结果:经6个月~12年随访,下尺桡关节功能恢复满意,X线片显示下尺桡关节对位关系正常。

结论:该术式和其他术式相比有其明显优点,不破坏关节邻近或它处结构,创伤小,操作简单,能长期维持复位状态。
[关键词]:旋前方肌骨膜瓣  下尺桡关节  脱位
 
Treatment of old distal radioulnar joint dislocation by transposition of pronator quadratus myoperiosteal flap of pronator quadratus muscle
Abstract:

Objective:To evaluate the efficacy on transposition of pronator quadratus myoperiosteal flap for treatment of old distal radioulnar joint dislocation.

Methods:From 1992 twenty-three patients with old distal radioulnar joint dislocation were treated by the transposition of pronator quadratus myoperiosteal flap.Ulnarperiost of pronator quadratus muscle was cut through,stripped and a pronator quadratus myoperiosteal flap was made.And it was transferred to the posterior of distal ulnar and sutured overlapped.The joint was received plaster immobilization for 4~6 weeks.

Results:All cases was followed up for six months to twelve years.The anatomical structure of the joints turned normal according to X-ray and with satisfactory functions.

Conclusion:Compared with other methods advantages are obvious.It is simple,with less invasion and without destruction of the structure around the joint.And it can recover the anatomical connection with distal radioulnar joint.
KEYWORDS:Pronator quadratus myoperiosteal flap  Distal radioulnar joint  Dislocation
 
引用本文,请按以下格式著录参考文献:
中文格式:黄久勤.旋前方肌骨膜瓣移位治疗陈旧性下尺桡关节脱位[J].中国骨伤,2004,17(11):676~677
英文格式:HUANG Jiu-qin.Treatment of old distal radioulnar joint dislocation by transposition of pronator quadratus myoperiosteal flap of pronator quadratus muscle[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(11):676~677
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