采用 1,2 骨间前动脉（1,2ICSRA）血管化骨移植治疗舟状骨骨不连。
Treatment of scaphoid non-union with 1,2 intercompartmental supraretinacular artery (1,2 ICSRA) vascularised graft.
机构信息
Department of Orthopaedics, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433.
出版信息
Singapore Med J. 2011 Sep;52(9):658-61.
INTRODUCTION
The purpose of this paper is to share the outcome of cases of scaphoid non-union treated with 1,2 intercompartmental supraretinacular artery (1,2 ICSRA) vascularised graft at our institution, as well as to identify the possible factors for the failure of the procedure.
METHODS
This was a retrospective review of 13 cases of scaphoid fracture non-union treated with 1,2 ICSRA vascularised bone grafting from October 2000 to March 2003. A clinical and radiological review was conducted. Linear regression was performed in order to identify the factors associated with a negative outcome.
RESULTS
Out of the 13 patients with scaphoid non-union, ten (77 percent) had avascular necrosis of the proximal pole. The patients were followed up for a mean duration of 13 (range 3-28) months. Ten out of the 13 (77 percent) patients achieved union.
CONCLUSION
Our results are comparable to those reported by other studies and indicate that avascular necrosis was associated with failure to achieve union.
简介
本文旨在分享我们机构采用 1,2 骨间前动脉（1,2ICSRA）血管化移植物治疗舟状骨骨不连病例的结果，并确定该手术失败的可能因素。
方法
这是 2000 年 10 月至 2003 年 3 月期间采用 1,2ICSRA 血管化骨移植治疗舟状骨骨折不连的 13 例病例的回顾性研究。进行了临床和影像学检查。进行线性回归以确定与不良结果相关的因素。
结果
在 13 例舟状骨骨不连患者中，有 10 例（77%）存在近极缺血性坏死。患者平均随访 13 个月（范围 3-28 个月）。13 例患者中有 10 例（77%）达到了愈合。
结论
我们的结果与其他研究报告的结果相当，表明缺血性坏死与未愈合有关。
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