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[舟状骨假关节的马蒂 - 鲁塞植骨术后随访结果]

[Follow-up results following Matti-Russe grafting in navicular pseudarthrosis].

作者信息

Hassinger M, Schmitt E, Mittelmeier H

出版信息

Z Orthop Ihre Grenzgeb. 1984 Sep-Oct;122(5):651-6. doi: 10.1055/s-2008-1045045.

Abstract

The navicular pseudarthrosis is in case of early and appropriate treatment of the navicular fracture relatively seldom. It develops often after a too late diagnosed or insufficiently treated navicular fracture. After an introduction of the pathogenetic causes of the navicular pseudarthrosis we give a survey over the operative methods of treatment represented in literature favourising the method of the implantation of a corticospongious bone-graft after Matti in the modification of Russe, which we prefer in our hospital. We base the long-term results of our treatment on a casuistic of 105 patients, operated after the method Matti-Russe. We performed a follow-up of 68 patients between 3 and 16 years after the operation (8,4 years on average). In our critical examination we put stress on the functional results, on the subjective and objective sucess of the operation, on the professional situation of the patients and its social-medical meaning. At last we give a comparison with the most extensive casuistics of the literature.

摘要

舟状骨假关节在舟状骨骨折早期得到恰当治疗的情况下相对少见。它常发生在舟状骨骨折诊断过晚或治疗不充分之后。在介绍舟状骨假关节的发病原因后,我们综述了文献中所阐述的手术治疗方法,比较倾向于采用经Russe改良的Matti法植入皮质松质骨移植骨的方法,这也是我们医院所偏好的方法。我们基于105例采用Matti-Russe法手术的患者个案,给出了我们治疗的长期结果。我们对68例患者在术后3至16年(平均8.4年)进行了随访。在我们的批判性研究中,我们着重关注功能结果、手术的主观和客观成功率、患者的职业状况及其社会医学意义。最后,我们与文献中最广泛的病例资料进行了比较。

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