掌侧经皮Herbert螺钉微创治疗腕舟骨骨折11例报告

发布时间：2018-06-14 00:02

本文选题：腕舟骨 + 内固定　；参考：《中国微创外科杂志》2017年06期

【摘要】：目的探讨经皮Herbert螺钉微创内固定治疗新鲜腕舟骨骨折的疗效。方法 2012年9月~2016年9月我科采用掌侧经皮导针定位Herbert螺钉内固定治疗11例新鲜腕舟骨骨折(Herbert分型A2型8例,B2型2例,B3型1例)。结果手术时间45~80 min,平均65 min;术中出血2~30 ml,平均11 ml。术中透视及术后X线片均证实骨折复位良好,螺钉位置良好,切口术后2周拆线,均愈合良好。11例随访3~18个月,平均8个月,骨折均骨性愈合。按改良Mayo腕关节功能评分,优9例,良1例,可1例,优良率90.9%(10/11)。结论对新鲜腕舟骨骨折采用经皮闭合复位Herbert螺钉内固定治疗效果满意。
[Abstract]:Objective to evaluate the effect of percutaneous Herbert screw minimally invasive internal fixation for fresh scaphoid fracture. Methods from September 2012 to September 2016, 11 cases of fresh carpal scaphoid fractures were treated with Herbert screw fixation. Results the operative time was 4580 min (mean 65 min) and the intraoperative bleeding was 20 ml (mean 11 ml). Intraoperative fluoroscopy and X ray film showed that the fracture was well reduced and the screw was in good position. All the 11 cases were followed up for 3 ~ 18 months (mean 8 months) at 2 weeks after operation. According to the modified Mayo wrist function score, 9 cases were excellent, 1 case was good, 1 case was fair, and the excellent and good rate was 90.9% 10 / 11%. Conclusion the treatment of fresh scaphoid fracture by percutaneous closed reduction with Herbert screw fixation is satisfactory.
【作者单位】：无锡市中医医院创伤骨科南京中医药大学无锡附属医院;
【分类号】：R687.3

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