非血管化髂骨移植治疗舟骨骨不连伴缺血性坏死。
Non-vascularized iliac bone grafting for scaphoid nonunion with avascular necrosis.
作者信息
Kim Jihyeung, Park Jin Woo, Chung Jeehyeok, Jeong Bae Kee, Gong Hyun Sik, Baek Goo Hyun
机构信息
Department of Orthopaedic Surgery, College of Medicine, Seoul National University, Seoul, Republic of Korea.
出版信息
J Hand Surg Eur Vol. 2018 Jan;43(1):24-31. doi: 10.1177/1753193417730657. Epub 2017 Sep 11.
UNLABELLED
We present the surgical outcomes of non-vascularized bone grafting taken from the iliac crest in 24 patients with scaphoid nonunion and avascular necrosis. The Fisk-Fernandez technique was used in 11 patients, and cancellous bone grafting was used in 13 patients. Bony union was achieved in 22 of the 24 patients. Non-vascularized iliac bone grafting can be used for the surgical management of scaphoid nonunion with avascular necrosis. Although revascularization of the proximal fragment after surgery was not evaluated, bony union was confirmed in nearly all patients.
LEVEL OF EVIDENCE
IV.
未标注
我们报告了24例舟骨不愈合和缺血性坏死患者采用取自髂嵴的非血管化骨移植的手术结果。11例患者采用Fisk-Fernandez技术，13例患者采用松质骨移植。24例患者中有22例实现了骨愈合。非血管化髂骨移植可用于舟骨不愈合合并缺血性坏死的手术治疗。尽管术后未评估近端骨块的再血管化情况，但几乎所有患者均证实实现了骨愈合。
证据级别
IV级。
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