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本文引用的文献

1
Percutaneous screw fixation without bone grafting of scaphoid non-union.舟骨不愈合的经皮螺钉固定且不植骨
Isr Med Assoc J. 2012 Dec;14(12):729-32.
2
Management of scaphoid nonunion.舟骨不愈合的治疗
J Hand Surg Am. 2012 May;37(5):1095-100; quiz 1101. doi: 10.1016/j.jhsa.2012.03.002.
3
Avascular necrosis of the scaphoid in children treated by splint immobilisation: a report of two cases.夹板固定治疗儿童舟骨缺血性坏死：两例报告
J Bone Joint Surg Br. 2011 Jun;93(6):847-8. doi: 10.1302/0301-620X.93B6.26670.
4
Dorsal percutaneous cannulated screw fixation for delayed union and nonunion of the scaphoid.经皮背侧穿钉固定治疗舟状骨延迟愈合和不愈合。
Plast Reconstr Surg. 2011 Aug;128(2):467-473. doi: 10.1097/PRS.0b013e31821e703b.
5
Percutaneous fixation of selected scaphoid fractures by dorsal approach.经背侧入路微创固定特定腕舟骨骨折。
Int Orthop. 2010 Oct;34(7):997-1003. doi: 10.1007/s00264-009-0891-1. Epub 2009 Nov 10.
6
Percutaneous screw fixation for scaphoid fracture: a comparison between the dorsal and the volar approaches.舟骨骨折的经皮螺钉固定：背侧入路与掌侧入路的比较
J Hand Surg Am. 2009 Feb;34(2):228-36.e1. doi: 10.1016/j.jhsa.2008.10.016.
7
Osteogenic protein-1 (BMP-7) accelerates healing of scaphoid non-union with proximal pole sclerosis.成骨蛋白-1（骨形态发生蛋白-7）可加速伴有近端极硬化的舟骨不愈合的愈合。
Int Orthop. 2006 Apr;30(2):128-34. doi: 10.1007/s00264-005-0045-z. Epub 2006 Feb 28.
8
The effect of ultrasound on the healing of muscle-pediculated bone graft in scaphoid non-union.超声对舟骨骨不连中带肌蒂骨移植愈合的影响。
Int Orthop. 2006 Apr;30(2):123-7. doi: 10.1007/s00264-005-0034-2. Epub 2006 Feb 11.
9
Wrist ligaments: their significance in carpal instability.腕关节韧带：它们在腕骨不稳中的意义。
Ulus Travma Acil Cerrahi Derg. 2005 Apr;11(2):115-20.
10
Percutaneous internal fixation of selected scaphoid nonunions with an arthroscopically assisted dorsal approach.经皮关节镜辅助背侧入路内固定治疗特定舟骨不愈合
J Bone Joint Surg Am. 2003;85-A Suppl 4:20-32. doi: 10.2106/00004623-200300004-00003.

舟骨骨折延迟愈合或不愈合的经皮背侧螺钉固定：基于MRI的决策制定

Dorsal percutaneous screw fixation of delayed or nonunion of scaphoid fractures: decision making with MRI.

作者信息

Altay Taskin, Gunal Izge, Kayali Cemil, Sener Muhittin

机构信息

Department of Orthopaedics, Bozyaka Egitim Arastirma Hastanesi, Karabaglar, 35210, Izmir, Turkey.

出版信息

Int Orthop. 2014 May;38(5):1007-10. doi: 10.1007/s00264-014-2282-5. Epub 2014 Feb 7.

DOI:10.1007/s00264-014-2282-5
PMID:24504564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3997788/
Abstract

PURPOSE

The purpose of the present study is to evaluate scaphoid delayed fractures or nonunions treated by percutaneous fixation with MRI correlations.

METHODS

We evaluated 33 consecutive scaphoid delayed unions or nonunions treated by dorsal percutaneous fixation at a mean 16 months (range, seven to 48 months) after the operation. There were 31 male and two female patients with an average age of 29 years (range, 25-33 years).

RESULTS

Pre-operative MRI revealed no signs of avascular necrosis. At the latest follow-up, all patients had good or excellent results.

CONCLUSION

We suggest dorsal percutaneous screw fixation for scaphoid delayed fractures or nonunions after eliminating the presence of AVN by pre-operative MRI examination.

摘要

目的

本研究旨在评估经皮固定治疗舟骨延迟骨折或骨不连并与MRI结果进行相关性分析。

方法

我们评估了33例经背侧经皮固定治疗的舟骨延迟愈合或骨不连患者，手术平均时间为术后16个月（范围7至48个月）。其中男性31例，女性2例，平均年龄29岁（范围25 - 33岁）。

结果

术前MRI未显示缺血性坏死迹象。在最近一次随访时，所有患者均获得良好或优异的结果。

结论

我们建议在术前通过MRI检查排除缺血性坏死的存在后，采用背侧经皮螺钉固定治疗舟骨延迟骨折或骨不连。