有症状的先天性 I 型月三角骨联合的手术治疗：技术及 4 例报告
Surgical Treatment of Symptomatic Congenital Type I Lunotriquetral Coalition: Technique and a Report of 4 Cases.
作者信息
Tordjman Daniel, Barry Mohamed K, Hinds Richard M, Yang S Steven
机构信息
*Hand, Upper Limb and Peripheral Nerve Surgery Department, Georges-Pompidou European Hospital (HEGP), Paris, France †Wayne State University School of Medicine, Detroit Medical Center, Detroit, MI ‡Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, NYU Langone Medical Center, New York, NY.
出版信息
Tech Hand Up Extrem Surg. 2016 Dec;20(4):141-146. doi: 10.1097/BTH.0000000000000134.
Lunotriquetral (LT) synchondrosis is an uncommon variant of congenital LT coalition. Unlike complete LT fusions, this incomplete pseudoarthrosis-like coalition can become symptomatic. Surgical LT arthrodesis is a described treatment for this variant of LT coalition (Minnaar type I). We report 4 patients who underwent LT fusion with a second-generation headless compression screw and distal radius cancellous autograft. Fusion was achieved in all cases at an average of 2.5 months postoperatively. All the patients were satisfied with complete pain relief in 2 patients and minimal pain in 2 patients, and all improved their range of motion. We recommend this procedure, and report the techniques for this limited wrist arthrodesis as treatment for the symptomatic LT synchondrosis.
月三角（LT）软骨结合是先天性LT联合的一种罕见变异。与完全性LT融合不同，这种不完全的假关节样联合可能会出现症状。手术性LT关节融合术是针对这种LT联合变异（Minnaar I型）的一种已描述的治疗方法。我们报告了4例接受LT融合术的患者，使用了第二代无头加压螺钉和桡骨远端松质骨自体移植。所有病例均在术后平均2.5个月实现融合。所有患者均对疼痛缓解情况满意，2例完全无痛，2例疼痛轻微，且所有患者的活动范围均有所改善。我们推荐这种手术方法，并报告这种有限的腕关节融合术技术，作为有症状的LT软骨结合的治疗方法。
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