| 自体软骨-软骨膜移植重建手指关节面11例 |
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Received:March 10, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 陈义泉 |
CHEN Yi-quan |
深圳市布吉人民医院骨科, 广东 深圳 518112 |
Department of Orthopaedics, the Buji People's Hospital of Shenzhen, Shenzhen 518112, Guangdong, China |
chyiq2000@yahoo.com |
| 袁太珍 |
YUAN Tai-zhen |
深圳市布吉人民医院骨科, 广东 深圳 518112 |
Department of Orthopaedics, the Buji People's Hospital of Shenzhen, Shenzhen 518112, Guangdong, China |
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| 王健 |
WANG Jian |
深圳市布吉人民医院骨科, 广东 深圳 518112 |
Department of Orthopaedics, the Buji People's Hospital of Shenzhen, Shenzhen 518112, Guangdong, China |
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| 龚国龄 |
GONG Guo-ling |
深圳市布吉人民医院骨科, 广东 深圳 518112 |
Department of Orthopaedics, the Buji People's Hospital of Shenzhen, Shenzhen 518112, Guangdong, China |
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| 李作灵 |
LI Zuo-Ling |
深圳市布吉人民医院骨科, 广东 深圳 518112 |
Department of Orthopaedics, the Buji People's Hospital of Shenzhen, Shenzhen 518112, Guangdong, China |
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| 期刊信息：《中国骨伤》2010年23卷，第10期，第784-786页 |
| DOI：10.3969/j.issn.1003-0034.2010.10.020 |
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目的：自行设计应用自体软骨-软骨膜复合物进行移植，修复手指关节的软骨缺损，达到重建关节面的目的。
方法：2005年10月至2009年10月治疗11例手外伤患者，其中男7例，女4例；年龄17～50岁，平均29岁；均伴有严重手指关节毁损。进行自体软骨-软骨膜移植术，术后指导其进行适当的功能锻炼。术后按手部关节的综合评分法进行评分。
结果：全部患者获得随访，时间1～4年，平均24个月。手术全部成功，无感染出现。术后2年随访，手部关节综合评分平均(41.0±0.63)分；其中优(>38分)8例，良(35～38分)2例，差(<30分)1例。
结论：自体软骨-软骨膜复合物移植术，对关节软骨毁损的修复重建功能效果好，减少了手部外伤的伤残率。 |
| [关键词]:软骨 移植，自体 手 创伤和损伤 |
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| Cartilage-perichondrium autografting for the repair articular cartilage defects of finger:a report of 11 cases |
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Abstract:
Objective: To study the clinical effects of self-invented cartilage-perichondrium autografting for the repair of articular cartilage defects,so as to reconstruct the joint surface.
Methods: Among total 11 patients with hand injuries from Oct.2005 to Oct. 2009,7 patients were male and 4 patients were female,ranging in age from 17 to 50 years,with an average of 29 years. All the patients had serious injuries of finger joint and were treated with cartilage-perichondrium autografting. After the operation,function exercises were performed,and composite scores of joints at hand were used to evaluate therapeutic effects.
Results: All the patients were followed-up from 1 to 4 years with an average of 24 months. The operation of all the patients were successful,and there were no infection. The mean score was (41.0±0.63) in 2 years after operation. Eight patients got an excellent result(>38 scores),2 good(from 35 to 38 scores) and 1 bad(<30 scores).
Conclusion: The cartilage-perichondrium autografting method is effective to reconstruct the defects of articular cartilage,and decrease the disablement rate of hand injuries. |
| KEYWORDS:Cartilage Transplantation,autologous Hand Wounds and injuries |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈义泉,袁太珍,王健,龚国龄,李作灵.自体软骨-软骨膜移植重建手指关节面11例[J].中国骨伤,2010,23(10):784~786 |
| 英文格式: | CHEN Yi-quan,YUAN Tai-zhen,WANG Jian,GONG Guo-ling,LI Zuo-Ling.Cartilage-perichondrium autografting for the repair articular cartilage defects of finger:a report of 11 cases[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(10):784~786 |
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