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自体软骨-软骨膜移植修复手指关节软骨缺损:附11例报告

[Cartilage-perichondrium autografting for the repair articular cartilage defects of finger: a report of 11 cases].

作者信息

Chen Yi-Quan, Yuan Tai-Zhen, Wang Jian, Gong Guo-Ling, Li Zuo-Ling

机构信息

Department of Orthopaedics, Buji People's Hospital of Shenzhen, Shenzhen 518112, Guangdong, China.

出版信息

Zhongguo Gu Shang. 2010 Oct;23(10):784-6.

PMID:21137296
Abstract

OBJECTIVE

To study the clinical effects of self-invented cartilage-perichondrium autografting for the repair of articular cartilage defects, so as to reconstruct the joint surface.

METHODS

Among total 11 patients with hand injuries from Oct. 2005 to Oct. 2009, 7 patients were male and 4 patients were female, ranging in age from 17 to 50 years, with an average of 29 years. All the patients had serious injuries of finger joint and were treated with cartilage-perichondrium autografting. After the operation, function exercises were performed, and composite scores of joints at hand were used to evaluate therapeutic effects.

RESULTS

All the patients were followed-up from 1 to 4 years with an average of 24 months. The operation of all the patients were successful, and there were no infection. The mean score was (41.0 +/- 0.63) in 2 years after operation. Eight patients got an excellent result (> 38 scores), 2 good (from 35 to 38 scores) and 1 bad (< 30 scores).

CONCLUSION

The cartilage-perichondrium autografting method is effective to reconstruct the defects of articular cartilage, and decrease the disablement rate of hand injuries.

摘要

目的

研究自行发明的自体软骨-软骨膜移植修复关节软骨缺损以重建关节面的临床效果。

方法

2005年10月至2009年10月期间共11例手部损伤患者,其中男性7例,女性4例,年龄17至50岁,平均29岁。所有患者均有手指关节严重损伤,均采用自体软骨-软骨膜移植治疗。术后进行功能锻炼,采用手部关节综合评分评估治疗效果。

结果

所有患者随访1至4年,平均24个月。所有患者手术均成功,无感染发生。术后2年平均评分为(41.0±0.63)分。8例患者效果优秀(>38分),2例良好(35至38分),1例差(<30分)。

结论

自体软骨-软骨膜移植方法对重建关节软骨缺损有效,可降低手部损伤致残率。

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Zhongguo Gu Shang. 2010 Oct;23(10):784-6.
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