采用空心加压螺钉治疗舟状骨颈骨折的骨合成：52例患者的评估

OSTEOSYNTHESIS OF A SCAPHOID NECK FRACTURE WITH A CANNULATED COMPRESSION SCREW: EVALUATION OF 52 PATIENTS.

作者信息

Almeida Lucas Bernardo Carvalho DE, Manfredi Victor Martins, Costa Igor Arthur Parron, Imoto Fábio Sano, Dobashi Eiffel Tsuioshi, Almeida Thiago Bernardo Carvalho DE, Rodrigues Luciano Miller Reis

机构信息

Rede D'Or, Hospital IFOR, São Bernardo do Campo, SP, Brazil.

Rede D'Or, Hospital IFOR, Residência Médica em Cirurgia da Mão, São Bernardo do Campo, SP, Brazil.

出版信息

Acta Ortop Bras. 2023 Oct 23;31(5):e264116. doi: 10.1590/1413-785220233105e264116. eCollection 2023.

DOI:10.1590/1413-785220233105e264116

PMID:37876865

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10592363/

Abstract

OBJECTIVE

To evaluate the effectiveness of the dorsal fixation technique with a cannulated compression screw (CCS) for transverse scaphoid neck fractures.

METHODS

A case series study was carried out with patients treated with a CSS between April 2014 and May 2021. The main outcome was the healing of the fracture, verified by radiographic evaluation that used images of the wrist in anteroposterior, lateral, radial deviation, ulnar deviation and oblique views, obtained in the postoperative period.

RESULTS

Fifty-two patients aged between 15 and 65 years were analyzed, of which 43 (83%) were male. Of the 52 patients, 19 (36.53%) had a right-hand injury and 33 (63.46%) had a left-hand injury. Results were excellent in 47 patients (90.38%); good in 4 patients (7.69%), with reduced mobility compared to contralateral and poor in 1 patient (1.92%), with failure of consolidation and breakage of the synthesis material. In 51 cases (99%) there was bone consolidation at the end of six months.

CONCLUSION

Osteosynthesis with a cannulated compression screw is a safe, effective and promising method for the treatment of scaphoid neck fractures.

摘要

目的

评估空心加压螺钉（CCS）背侧固定技术治疗舟状骨颈横行骨折的有效性。

方法

对2014年4月至2021年5月期间接受CCS治疗的患者进行病例系列研究。主要观察指标为骨折愈合情况，通过术后拍摄的腕关节正位、侧位、桡偏、尺偏及斜位X线片进行影像学评估来验证。

结果

分析了52例年龄在15至65岁之间的患者，其中43例（83%）为男性。52例患者中，19例（36.53%）为右手损伤，33例（63.46%）为左手损伤。47例患者（90.38%）结果优秀；4例患者（7.69%）结果良好，与对侧相比活动度降低；1例患者（1.92%）结果差，出现骨不连且合成材料断裂。51例（99%）患者在六个月时实现了骨愈合。