| 逆行可吸收拉力螺钉内固定治疗腕舟骨骨折 |
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Received:May 20, 2009
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| 作者 | Author | 单位 | Unit | E-Mail |
| 洪加源 |
HONG Jia-yuan |
解放军第175医院全军创伤骨科中心 厦门大学附属东南医院,福建 漳州 363000 |
Orthopaedic Department of the 175th Hospital of PLA and Affiliated Hospital of Xiamen University,Zhangzhou 363000,Fujian,China |
hongjy175@yahoo.com.cn |
| 康两期 |
KANG Liang-qi |
解放军第175医院全军创伤骨科中心 厦门大学附属东南医院,福建 漳州 363000 |
Orthopaedic Department of the 175th Hospital of PLA and Affiliated Hospital of Xiamen University,Zhangzhou 363001,Fujian,China |
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| 丁真奇 |
DING Zhen-qi |
解放军第175医院全军创伤骨科中心 厦门大学附属东南医院,福建 漳州 363000 |
Orthopaedic Department of the 175th Hospital of PLA and Affiliated Hospital of Xiamen University,Zhangzhou 363002,Fujian,China |
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| 郭林新 |
GUO Lin- xin |
解放军第175医院全军创伤骨科中心 厦门大学附属东南医院,福建 漳州 363000 |
Orthopaedic Department of the 175th Hospital of PLA and Affiliated Hospital of Xiamen University,Zhangzhou 363003,Fujian,China |
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| 林斌 |
LIN Bin |
解放军第175医院全军创伤骨科中心 厦门大学附属东南医院,福建 漳州 363000 |
Orthopaedic Department of the 175th Hospital of PLA and Affiliated Hospital of Xiamen University,Zhangzhou 363004,Fujian,China |
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| 郭志民 |
GUO Zhi-min |
解放军第175医院全军创伤骨科中心 厦门大学附属东南医院,福建 漳州 363000 |
Orthopaedic Department of the 175th Hospital of PLA and Affiliated Hospital of Xiamen University,Zhangzhou 363005,Fujian,China |
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| 期刊信息：《中国骨伤》2009年22卷，第11期，第822-823页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨逆行可吸收拉力螺钉内固定治疗腕舟骨骨折的手术疗效。
方法：2001年12月至2007年12月，18例腕舟骨骨折，男12例，女6例；年龄17～40岁，平均26岁。腕舟骨腰部骨折10例，近端骨折8例。采用逆行可吸收拉力螺钉内固定治疗。
结果：18例患者获随访，时间12～36个月，平均25个月。18例中有17例愈合，1例不愈合，平均愈合时间为13周，平均腕关节活动度为健侧的90%,握力为健侧的95%.14例无疼痛，3例轻度疼痛，另外1例不愈合有中度疼痛，除1例不愈合外，其余都能胜任原工作。按Cooney评分标准：总评分由术前的(68.2±1.5)分提高到术后的(88.7±1.2)分，术后各项评分明显高于术前(P<0.05);优9例，良8例，差1例。
结论：逆行可吸收拉力螺钉内固定治疗腕舟骨骨折手术操作简单，对腕舟骨残存的血运破坏小，固定牢靠，可缩短骨折愈合时间及提高骨折愈合率，是治疗腕舟骨骨折的一种有效的手术方法。 |
| [关键词]:舟骨 骨折 骨折固定术,内 可吸收性植入物 |
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| Application of absorbable screw in treatment of scaphoid fracture by retrograde internal fixation |
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Abstract:
Objective: To evaluate the surgical effects of treatment of scaphoid fracture with retrograde internal fixation using absorbable screw.
Methods: From December 2001 to December 2007,18 cases of scaphoid fracture were treated with absorbable screw by retrograde internal fixation. There were 12 males and 6 females with an average age of 26 years ranging from 17 to 40 years. Ten cases were medium fractures of scaphoid adn 8 cases were proximal fraxtures.
Results: All patients were followed-up for from 12 to 36 months(means 25 months). Among them,17 cases were union and 1 case was nonunion. The mean time of union was 13 weeks. The mean range of motion of wrist was about 90% and mean scratch strength of wrist was about 95% to fine lateral. There were no pain in 14 cases,and slight pain in 3,medial pain in 1 casea of ununion. According to Cooney's clinical evaluation system,the score was increased from(68.2±1.5) before operation to(88.7±1.2) after operation,the postoperative score was higher than preoperative remarkable;9 patients were fine,8 were good and 1 was bad.
Conclusion: This technology had some advantage such as simple surgery,decreasing demonstrate rest blood circulation,stable fixation,reducing bone healing time and increasing healing time. It is an effective way to treat scaphoid fracture. |
| KEYWORDS:Scaphoid bone Fractures Fracture fixation,internal Absorbable implant |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 洪加源,康两期,丁真奇,郭林新,林斌,郭志民.逆行可吸收拉力螺钉内固定治疗腕舟骨骨折[J].中国骨伤,2009,22(11):822~823 |
| 英文格式: | HONG Jia-yuan,KANG Liang-qi,DING Zhen-qi,GUO Lin- xin,LIN Bin,GUO Zhi-min.Application of absorbable screw in treatment of scaphoid fracture by retrograde internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(11):822~823 |
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