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[1]程亞博.腕關(guān)節(jié)鏡技術(shù)聯(lián)合切開復(fù)位內(nèi)固定術(shù)治療FernandezⅣ型橈骨遠(yuǎn)端骨折[J].中醫(yī)正骨,2020,32(04):52-54.
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腕關(guān)節(jié)鏡技術(shù)聯(lián)合切開復(fù)位內(nèi)固定術(shù)治療FernandezⅣ型橈骨遠(yuǎn)端骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數(shù):
2020年04期
頁碼:
52-54
欄目:
臨床報道
出版日期:
2020-04-20

文章信息/Info

作者:
程亞博
(四川省骨科醫(yī)院,四川 成都 610041)
關(guān)鍵詞:
腕關(guān)節(jié) 橈骨骨折 關(guān)節(jié)鏡檢查 骨折固定術(shù)內(nèi)
摘要:
目的:探討腕關(guān)節(jié)鏡技術(shù)聯(lián)合切開復(fù)位內(nèi)固定術(shù)治療FernandezⅣ型橈骨遠(yuǎn)端骨折的臨床療效和安全性。方法:2017年1月至2018年6月,采用腕關(guān)節(jié)鏡技術(shù)聯(lián)合切開復(fù)位內(nèi)固定術(shù)治療FernandezⅣ型橈骨遠(yuǎn)端骨折患者12例。男8例,女4例。年齡25~46歲,中位數(shù)36.5歲。車禍傷2例,墜落傷2例,摔傷8例。受傷至手術(shù)時間2~8 d,中位數(shù)4 d。隨訪觀察骨折愈合及并發(fā)癥發(fā)生情況。術(shù)后12個月,采用視覺模擬量表(visual analogue scale,VAS)評價患者腕部疼痛情況,測定患腕關(guān)節(jié)掌傾角、尺偏角、屈伸活動范圍及前臂旋轉(zhuǎn)活動范圍,并采用Cooney腕關(guān)節(jié)評分量表評估療效。結(jié)果:術(shù)中4例患者內(nèi)固定后橈骨遠(yuǎn)端骨折塊仍有輕微移動,行腕關(guān)節(jié)外固定架固定。12例患者均獲隨訪,隨訪時間12~14個月,中位數(shù)13個月。骨折均愈合,骨折骨性愈合時間16~25周,中位數(shù)20周。所有患者均未發(fā)生掌傾角及尺偏角丟失、腕關(guān)節(jié)不穩(wěn)等并發(fā)癥。術(shù)后12個月,患腕疼痛VAS評分(1.2±1.8)分,掌傾角5.9°±7.1°,尺偏角20.5°±2.3°,腕關(guān)節(jié)屈伸活動范圍150.1°±9.1°,前臂旋轉(zhuǎn)活動范圍170.7°±8.3°,Cooney腕關(guān)節(jié)評分(87.5±6.6)分,優(yōu)8例、良3例、可1例。結(jié)論:腕關(guān)節(jié)鏡技術(shù)聯(lián)合切開復(fù)位內(nèi)固定術(shù)治療FernandezⅣ型橈骨遠(yuǎn)端骨折,骨折愈合好,可緩解患腕疼痛、改善患腕功能,且安全性高。

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備注/Memo

備注/Memo:
(收稿日期:2020-02-02 本文編輯:李曉樂)通訊作者:程亞博 E-mail:[email protected]
更新日期/Last Update: 2020-07-31