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采用舟月三角韧带固定术重建舟状骨脱位

Scaphoid Dislocation Reconstruction with Scapholunotriquetral Ligament Tenodesis.

作者信息

Mailey Brian, Brown Amanda L, Winters James

机构信息

Division of Surgery, Institute for Plastic Surgery, Southern Illinois University, Springfield, Illinois.

Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Illinois.

出版信息

J Wrist Surg. 2021 Oct 21;11(6):541-545. doi: 10.1055/s-0041-1735884. eCollection 2022 Dec.

DOI:10.1055/s-0041-1735884
PMID:36504537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9731737/
Abstract

Traumatic injuries leading to complex scaphoid dislocations are uncommon. We present a successful reconstructive case after a complex intercarpal instability injury using scapholunotriquetral tenodesis without the need for Kirschner wire fixation and early controlled range of motion therapy. At 3 months, the patient had a pain-free wrist with a 100-degree arc of motion and returned to work with full functionality. A literature review was performed to describe the previously published surgical treatments of this injury pattern and compare functional outcomes.

摘要

导致复杂舟状骨脱位的创伤性损伤并不常见。我们展示了一例成功的重建病例，该病例为腕骨间不稳定损伤，采用舟月三角融合术，无需克氏针固定，并进行早期可控活动范围治疗。3个月时，患者腕部无痛，活动弧度达100度，恢复工作且功能完全正常。我们进行了文献综述，以描述此前已发表的针对这种损伤类型的手术治疗方法，并比较功能结果。