Department of Orthopaedic and Trauma Surgery, University of Dundee, Dundee, DD1 4HN, Scotland, UK.
Department of Orthopaedic and Trauma Surgery, Mater Dei Hospital, Msida, 2090, MSD, Malta.
BMC Musculoskelet Disord. 2023 Sep 28;24(1):768. doi: 10.1186/s12891-023-06870-4.
Numerous studies have been published on the use of 1,2-intercompartmental supra-retinacular artery (ICSRA) as a pedicled vascularised bone graft (PVBG) in scaphoid fracture non-union, however, only very few studies have reported their results of 2,3-ICSRA. The aim of this study was to compare the patient-rated outcome scores between these two PVBGs in proximal pole scaphoid fracture non-union.
Nineteen patients who underwent surgery for scaphoid non-union between 2017 and 2021 at a single institution were recruited retrospectively in this study. All patients were operated by a one senior orthopaedic surgeon. A mailed questionnaire with the modified mayo wrist (MMW) and the patient rated wrist evaluation (PRWE) scores were sent to the patients.
All patients were males with a mean age of 22.5 years. There was no statistically significant difference in the PRWE score between the two PVBGs. However, a statistically significant difference was found in the MMW score, with the 1,2-ICSRA PVBG having better scores.
Despite the 2,3-ICSRA having a longer arc of rotation, longer nutrient arteries, and is technically easier to incorporate in a PVBG, when compared with the 1,2-ICSRA it did not result in better patient-rated outcome scores.
许多研究已经发表了关于使用 1,2-间隔骨间上动脉（ICSRA）作为带蒂血管化骨移植（PVBG）治疗舟状骨骨折不愈合的应用，然而，只有很少的研究报告了 2,3-ICSRA 的结果。本研究的目的是比较这两种 PVBG 在舟状骨近极骨折不愈合中的患者评分结果。
本研究回顾性地招募了 2017 年至 2021 年期间在一家机构接受手术治疗的 19 名舟骨骨折不愈合患者。所有患者均由一位资深骨科医生进行手术。通过邮寄问卷的方式，向患者发送改良 Mayo 腕关节评分（MMW）和患者自评腕关节评分（PRWE）。
所有患者均为男性，平均年龄为 22.5 岁。两种 PVBG 的 PRWE 评分无统计学差异。然而，MMW 评分存在统计学差异，1,2-ICSRA PVBG 的评分更好。
尽管 2,3-ICSRA 具有更大的旋转弧度、更长的营养动脉，并且在技术上更容易纳入 PVBG，但与 1,2-ICSRA 相比，它并未导致更好的患者评分结果。
