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[舟状骨假关节合并腕关节同期去神经支配时的骨固定术]

[Osteosynthesis in pseudoarthrosis of the scaphoid bone with simultaneous denervation of the wrist joint].

作者信息

Dósa G, Grúber K

机构信息

Pándy Kálmán Kórház Baleseti Osztályának.

出版信息

Magy Traumatol Ortop Kezseb Plasztikai Seb. 1994;37(3):211-5.

PMID:7920904
Abstract

Authors describe the results of the partial selective denervation from radio-volar exposure of the wrist, simultaneously with the osteosynthesis of the pseudoarthrosis of the scaphoid with Ender plates. After a 1-8 years follow up, 3/4 of the patients whose scaphoid pseudoarthrosis was 6.5 years old in average, and had at the operation middle or severe arthrosis of the wrist became symptomless or had only mild symptoms. It is stated that the denervation may be a good supplement of the scaphoid pseudoarthrosis operations and of sanative character performed in the arthrotic stage already.

摘要

作者描述了通过腕部桡掌侧入路进行部分选择性去神经支配的结果,同时使用恩德尔接骨板对舟骨假关节进行骨合成。经过1至8年的随访,平均舟骨假关节形成6.5年且在手术时存在中度或重度腕关节关节炎的患者中,四分之三的患者症状消失或仅出现轻微症状。研究表明,去神经支配可能是舟骨假关节手术的良好补充,并且在关节炎阶段已经具有治疗作用。

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