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[1]牛升波,曹學(xué)成.切開復(fù)位內(nèi)固定治療急性經(jīng)舟骨月骨周圍脫位[J].中醫(yī)正骨,2015,27(04):59-61.
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切開復(fù)位內(nèi)固定治療急性經(jīng)舟骨月骨周圍脫位()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年04期
頁碼:
59-61
欄目:
臨床報(bào)道
出版日期:
2015-04-30

文章信息/Info

作者:
牛升波曹學(xué)成
第二軍醫(yī)大學(xué)濟(jì)南軍區(qū)總醫(yī)院臨床醫(yī)學(xué)院,山東 濟(jì)南 250031
關(guān)鍵詞:
腕關(guān)節(jié) 舟骨 月骨 經(jīng)舟骨月骨周圍脫位 骨折固定術(shù)內(nèi)
摘要:
目的:探討切開復(fù)位內(nèi)固定治療急性經(jīng)舟骨月骨周圍脫位的臨床療效和安全性。方法:2009年6月至2012年6月,采用切開復(fù)位Herbert螺釘內(nèi)固定治療急性經(jīng)舟骨月骨周圍脫位患者14例,男10例,女4例; 年齡18~71歲,中位數(shù)35.5歲。左側(cè)5例,右側(cè)9例; 騎自行車摔傷6例,高處墜落摔傷4例,跌倒摔傷2例,機(jī)器牽拉傷2例。其中8例合并正中神經(jīng)損傷癥狀。傷后至手術(shù)時(shí)間3 h至7 d,中位數(shù)3 d。隨訪觀察患者的骨折愈合情況、腕關(guān)節(jié)功能恢復(fù)情況及并發(fā)癥發(fā)生情況。結(jié)果:14例患者均獲隨訪,隨訪時(shí)間24~42個(gè)月,中位數(shù)30.5個(gè)月。所有舟骨骨折均愈合,術(shù)前合并正中神經(jīng)損傷癥狀者均恢復(fù)。未發(fā)生創(chuàng)傷性關(guān)節(jié)炎、腕關(guān)節(jié)不穩(wěn)及腕骨缺血性壞死。12例患者重新回到原工作崗位,其余2例患者可以從事日常家務(wù)勞動(dòng),所有患者均自訴不能提起過重物體,但均未要求二次手術(shù)。術(shù)后24個(gè)月按照Mayo標(biāo)準(zhǔn)評(píng)定療效,優(yōu)4例、良7例、可2例、差1例。結(jié)論:切開復(fù)位內(nèi)固定治療急性經(jīng)舟骨月骨周圍脫位,能夠有效恢復(fù)腕骨正常序列,提供周圍韌帶修復(fù)的結(jié)構(gòu)基礎(chǔ),骨折愈合率高,患肢功能恢復(fù)良好,并發(fā)癥發(fā)生率低。

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備注/Memo

備注/Memo:
2014-11-06收稿 2015-01-05修回
通訊作者:曹學(xué)成 E-mail:[email protected]
更新日期/Last Update: 2015-04-30