血管化骨移植治疗腕部疾病。

Vascularized bone grafting for the treatment of carpal pathology.

作者信息

Moran Steven L, Shin Alexander Y

机构信息

Department of Orthopedic Surgery, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.

出版信息

Orthop Clin North Am. 2007 Jan;38(1):73-85, vi. doi: 10.1016/j.ocl.2006.10.010.

DOI:10.1016/j.ocl.2006.10.010

PMID:17145296

Abstract

Vascularized bone graft procedures have been applied to several maladies of the carpus including proximal pole fractures of the scaphoid, Preiser's disease, and Kienböck's disease. Vascularized bone grafts are capable of primary bony healing without creeping substitution and can thus accelerate fracture healing, replace deficient bone, and revascularize ischemic bone. Long-term data are now available to evaluate the benefits and deficiencies of vascularized grafts in the treatment of many carpal maladies. This article reviews the pertinent literature and provides some treatment algorithms for the use of vascularized bone grafting in cases of carpal pathology.

摘要

带血管蒂骨移植手术已应用于腕骨的多种疾病，包括舟骨近端骨折、Preiser病和Kienböck病。带血管蒂骨移植能够实现一期骨愈合而无需爬行替代，因此可以加速骨折愈合、替代缺损骨以及使缺血性骨重新血管化。现在已有长期数据可用于评估带血管蒂移植在治疗多种腕骨疾病中的利弊。本文回顾了相关文献，并提供了一些在腕骨病变病例中使用带血管蒂骨移植的治疗方案。