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桡骨远端畸形愈合伴神经病变的开放楔形截骨术。13例随访6(1 - 11)年。

Opening wedge osteotomy for malunion of the distal radius with neuropathy. 13 cases followed for 6 (1-11) years.

作者信息

Kwasny O, Fuchs M, Schabus R

机构信息

University Clinic of Traumatology, University of Vienna, Austria.

出版信息

Acta Orthop Scand. 1994 Apr;65(2):207-8. doi: 10.3109/17453679408995436.

DOI:10.3109/17453679408995436
PMID:8197859
Abstract

13 patients with malunion of the distal radius after Colles' fractures and electroneurographically verified median nerve compression underwent an opening wedge osteotomy without a simultaneous release of the transverse carpal ligament. 12 patients had reduction of the typical night pain with normal or almost normal sensibility within the first 2 months. In 1 patient a release of the carpal ligament was necessary after 6 months. 6 years postoperatively all patients had acceptable wrist function with normal function of the median nerve in all but one.

摘要

13例Colles骨折后桡骨远端畸形愈合且经神经电生理检查证实正中神经受压的患者接受了开放性楔形截骨术,未同时松解腕横韧带。12例患者在术后2个月内典型的夜间疼痛减轻,感觉恢复正常或接近正常。1例患者在术后6个月需要松解腕韧带。术后6年,除1例患者外,所有患者的腕关节功能均可接受,正中神经功能正常。

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