Dellarosa N, Ozben H, Abate M, Russomando A, Petrella G, Landi A
Azienda Ospedaliero - Universitaria Policlinico di Modena, Hand Surgery and Microsurgery Unit.
Koc University, School of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey
J Hand Surg Eur Vol. 2016 Jan;41(1):64-71. doi: 10.1177/1753193414563012. Epub 2014 Dec 16.
We report the outcomes of an arthroscopic-assisted minimally invasive technique to reconstruct the scapho-lunate ligament using a bone-ligament-bone graft in 11 patients (11 wrists). The mean follow-up time was 29 months (range 20 to 38). The preoperative mean wrist flexion, extension, grip strength and patient-rated wrist evaluation score values were 61°, 54°, 115 N and 54, respectively. The postoperative mean values were 64°, 58°, 142 N and 15, respectively. There were no statistical differences between the pre- and postoperative wrist flexion and extension, whereas changes in grip strength and patient-rated wrist evaluation score were significant. Scapho-lunate angles decreased significantly from 69° to 60°. Based on our clinical outcomes, this method provides a reliable alterative for the reconstruction of the scapho-lunate ligament in patients with persistent Geissler type 3 and 4 lesions in the short-term.
IV.
我们报告了一种关节镜辅助下的微创技术治疗结果，该技术使用骨-韧带-骨移植物重建11例患者（11个腕关节）的舟月韧带。平均随访时间为29个月（范围20至38个月）。术前腕关节平均屈曲、伸展、握力及患者自评腕关节评估评分值分别为61°、54°、115 N和54分。术后平均值分别为64°、58°、142 N和15分。术前和术后腕关节屈曲和伸展无统计学差异，而握力和患者自评腕关节评估评分变化显著。舟月角从69°显著降至60°。基于我们的临床结果，该方法为短期存在持续Geissler 3型和4型损伤的患者重建舟月韧带提供了一种可靠的替代方法。
IV级。
