背侧入路低切迹接骨板治疗伴有近极缺血性坏死的舟状骨骨不连：病例报告。
Dorsal Approach with Low-Profile Plate in Treatment of Scaphoid Nonunion with Proximal Pole Avascular Necrosis: A Case Report.
机构信息
Orthopaedic Surgery Department, Family Medical Center, Mejdlaya, Lebanon.
Orthopaedic Surgery Department, American University of Beirut Medical Center, Beirut, Lebanon.
出版信息
JBJS Case Connect. 2021 Jul 22;11(3):01709767-202109000-00038. doi: e20.00370.
CASE
Avascular necrosis (AVN) and nonunion are common complications encountered with scaphoid waist fractures. We present a case of a 23-year-old man presenting with a right scaphoid fracture nonunion associated with AVN of the proximal pole. He was treated with a 1,2 intercompartmental supraretinacular arterial bone graft (Zaidemberg technique) in combination with a dorsal plate yielding excellent functional and radiographic results.
CONCLUSION
Scaphoid waist fracture nonunion with AVN of the proximal pole is challenging to treat and combining the Zaidemberg technique along with dorsal plating allows for easy access and excellent healing.
病例
舟状骨腰部骨折常并发缺血性坏死（AVN）和骨不连。我们报告一例 23 岁男性，右舟状骨骨折不愈合伴近极 AVN。采用 1,2 间室间腕背动脉骨移植（Zaidemberg 技术）联合背侧钢板治疗，获得了极佳的功能和影像学结果。
结论
舟状骨腰部骨折不愈合伴近极 AVN 治疗具有挑战性，结合 Zaidemberg 技术和背侧钢板固定可方便手术入路，促进愈合。
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