Giannikas D, Karageorgos A, Karabasi A, Syggelos S
Orthopaedic Department, Patras University Hospital, Rio-Patras, Greece.
J Hand Surg Eur Vol. 2010 Mar;35(3):198-201. doi: 10.1177/1753193409352280. Epub 2009 Dec 23.
The clinical and radiological results of a modified midcarpal fusion technique for scaphoid nonunion advance collapse were retrospectively studied in eight patients. All had partial resection of the proximal part of the fractured scaphoid, limited radial styloidectomy, scaphocapitate and lunocapitate arthrodesis, using a block of iliac crest graft to maintain carpal height. All united without complications and wrist motion, grip strength and carpal height were improved postoperatively. The modified Mayo wrist score at follow-up was 70%. Three patients continued to have some pain and one patient had a poor result.
对8例舟骨不愈合进展性塌陷采用改良腕中关节融合技术的临床和影像学结果进行了回顾性研究。所有患者均接受了骨折舟骨近端部分切除、有限的桡骨茎突切除术、舟头关节和月头关节融合术，使用髂嵴骨块移植以维持腕骨高度。所有患者均愈合且无并发症，术后腕关节活动度、握力和腕骨高度均得到改善。随访时改良梅奥腕关节评分为70%。3例患者仍有一些疼痛，1例患者效果不佳。
