首页> 中文期刊> 《检验医学与临床》 >腕关节镜辅助下经皮Bold螺钉内固定治疗舟骨骨折

腕关节镜辅助下经皮Bold螺钉内固定治疗舟骨骨折

         

摘要

Objective To evaluate the short term effect of arthroscopic-assisted percutaneous Bold screw inter-nal fixation in the treatment of scaphoid fracture .Methods 12 patients with scaphoid fracture in our hospital from October 2011 to August 2013 were selected as the research subjects ,including 4 cases of left side and 8 cases of right side ,11 cases of acute fracture and 1 case of old fracture ;11 cases was identified as type B2 and 1 case as B3 according to the modified Herbert classification .All cases were treated with wrist arthroscopy-assisted percutaneous Bold screws internal fixation and followed up for 6 to 24 months after operation .The incision ,bone healing and Mayo score were observed .Results In 12 cases ,all the operational incisions obtained primary healing ,11 cases achieved bone u-nion and 1 case delayed union .According to the modified Mayo standard ,the results were excellent in 9 cases ,good in 1 case ,fair in 1 case and poor in 1 case ,with the effective rate of 83 .33% .Conclusion Arthroscopic-assisted percuta-neous Bold screw internal fixation is an operative method to treat acute scaphoid fracture with minimal invasion and reliable short term effect .%目的:评价腕关节镜辅助下经皮Bold螺钉内固定治疗舟骨骨折的短期疗效。方法选择重庆医科大学第二附属医院骨科2011年10月至2013年8月收治的12例舟骨骨折患者为研究对象,其中左侧舟骨骨折4例,右侧8例;新鲜骨折11例,陈旧性骨折1例;根据改良 Herbert分型,B2型11例,B3型1例。所有患者均采取腕关节镜辅助下经皮Bold螺钉内固定。术后随访6~24个月,观察患者骨折愈合情况及腕关节改良M ayo评分结果。结果术后所有患者伤口Ⅰ/甲愈合,11例骨折愈合,1例骨折延迟愈合。腕关节改良M ayo评分结果显示,优9例,良1例,可1例,差1例,优良率为83.33%。结论腕关节镜辅助下经皮Bold螺钉内固定技术是一种微创、短期疗效可靠地治疗新鲜舟骨骨折的手术方法。

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