Ma Zhihu, Qiao Li, Cui Yidong, Zhu Ruowen, Zhang Xingsheng, Zhu Lei, Xu Qingjia, Pei Yantao, Wang Gang
Department of Hand Surgery, Department of Orthopedics, Qilu Hospital of Shandong University, #107 Wenhua Xilu, Jinan, China.
Department of Orthopedic Surgery, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, China.
Sci Rep. 2024 Dec 2;14(1):29984. doi: 10.1038/s41598-024-81612-7.
Raynaud's phenomenon is a condition that causing vasospasm of the digital extremities and have a great influence on the quality of patients life. Distraction osteogenesis is accompanied with vascularization and regeneration of surrounding soft tissues. There have been no previous reports of using radial cortex transverse distraction for the treatment of RP. Since January 2019 to January 2023, 6 patients with RP accepted radial cortex transverse distraction. They were failed to conventional treatment for at least six months before the surgery. All the patients were followed-up over 1 year. The bone cortex healed without osteomyelitis or fractures. The ulcer of finger healed in one month. The pain and skin pale released after the surgery. The VAS score declined from 6 to 2 and the finger SpO improved. Radial cortex transverse distraction facilitated finger ulcer healing, salvage the hand and improved Raynaud symptoms. These findings suggest that radial cortex transverse distraction may be an effective procedure to treat the Raynaud's phenomenon.Level of Evidence II Therapeutic study.
雷诺现象是一种导致手指末端血管痉挛的病症，对患者生活质量有很大影响。牵张成骨伴随着周围软组织的血管化和再生。此前尚无使用桡骨皮质横向牵张治疗雷诺现象的报道。自2019年1月至2023年1月，6例雷诺现象患者接受了桡骨皮质横向牵张治疗。他们在手术前至少六个月常规治疗无效。所有患者均随访超过1年。骨皮质愈合，无骨髓炎或骨折。手指溃疡在一个月内愈合。术后疼痛和皮肤苍白症状缓解。视觉模拟评分（VAS）从6分降至2分，手指血氧饱和度（SpO）改善。桡骨皮质横向牵张促进手指溃疡愈合，挽救手部并改善雷诺症状。这些发现表明，桡骨皮质横向牵张可能是治疗雷诺现象的有效方法。证据级别II 治疗性研究。
