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舟骨骨不连伴塌陷的掌侧楔形植骨术

Volar wedge grafting for scaphoid nonunion with collapse.

作者信息

Bindra Randip, Bednar Michael, Light Terry

机构信息

Department of Orthopedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL 60153, USA.

出版信息

J Hand Surg Am. 2008 Jul-Aug;33(6):974-9. doi: 10.1016/j.jhsa.2008.04.024.

DOI:10.1016/j.jhsa.2008.04.024
PMID:18656775
Abstract

Fractures of the scaphoid waist that fail to heal tend to collapse into a flexed posture. The so-called "humpback deformity" of the bone is accompanied by collapse of the proximal carpal row with dorsal tilt of the lunate. It is possible to restore scaphoid height and carpal alignment by insertion of a tricortical wedge of graft from the iliac crest. In this article, we demonstrate the surgical technique of volar wedge grafting for scaphoid nonunion.

摘要

舟状骨腰部骨折不愈合往往会塌陷成屈曲姿势。这种骨头的所谓“驼背畸形”伴随着近端腕骨排的塌陷以及月骨的背侧倾斜。通过插入来自髂嵴的三皮质楔形移植骨可以恢复舟状骨高度和腕骨排列。在本文中,我们展示了用于舟状骨骨不连的掌侧楔形植骨的手术技术。

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