螺钉在舟月关节不稳治疗中的应用。

The use of screws in the treatment of scapholunate instability.

作者信息

Cognet J M, Levadoux M, Martinache X

机构信息

SOS Mains Champagne Ardenne, Polyclinique Saint André, Reims, France.

出版信息

J Hand Surg Eur Vol. 2011 Oct;36(8):690-3. doi: 10.1177/1753193411410154. Epub 2011 Jun 23.

DOI:10.1177/1753193411410154

PMID:21700650

Abstract

Seven patients with chronic scapholunate instability (Geissler grade 2-4) were treated by percutaneous placement of screws across the scapholunate joint after arthroscopic debridement of the remnants of the scapholunate ligament. In all seven cases, the screw caused partial destruction of the lunate and/or scaphoid requiring screw removal within 6 months. We no longer perform this procedure.

摘要

7例慢性舟月关节不稳定患者（Geissler 2-4级），在关节镜下清理舟月韧带残余组织后，经皮在舟月关节置入螺钉进行治疗。在所有7例病例中，螺钉导致月骨和/或舟骨部分破坏，需要在6个月内取出螺钉。我们不再进行此手术。