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尺骨短缩联合关节镜修复术用于三角纤维软骨复合体撕裂的延迟治疗

Ulnar shortening combined with arthroscopic repairs in the delayed management of triangular fibrocartilage complex tears.

作者信息

Trumble T E, Gilbert M, Vedder N

机构信息

Division of Hand and Microvascular Surgery, University of Washington School of Medicine, Seattle 98195, USA.

出版信息

J Hand Surg Am. 1997 Sep;22(5):807-13. doi: 10.1016/S0363-5023(97)80073-1.

DOI:10.1016/S0363-5023(97)80073-1
PMID:9330137
Abstract

The functional outcome after surgery was determined in 21 patients an average of 29 months (range, 24-52 months) after surgery to evaluate the efficacy of arthroscopic repair of triangular fibrocartilage complex (TFCC) tears and ulnar shortening. All of the patients had reparable lesions of the TFCC treated after a delay of more than 6 months from the time of injury. The patients' average age was 32 years and all patients had wrist pain limiting them from work and/or sports prior to surgery. After surgery, there was a significant relief of pain (p < .01). Grip strength and range of motion averaged 83% +/- 18% and 81% +/- 16%, respectively, of that of the uninjured side. At follow-up evaluation, 14 patients with repairs underwent follow-up studies; the TFCC was noted to be intact in 12 patients.

摘要

在平均术后29个月(范围为24 - 52个月)对21例患者的手术功能结果进行了测定,以评估关节镜下修复三角纤维软骨复合体(TFCC)撕裂和尺骨短缩的疗效。所有患者的TFCC损伤均可修复,且从受伤时间起延迟超过6个月后才接受治疗。患者的平均年龄为32岁,所有患者在手术前均有腕部疼痛,这限制了他们的工作和/或运动。手术后,疼痛得到了显著缓解(p <.01)。握力和活动范围平均分别为健侧的83% +/- 18%和81% +/- 16%。在随访评估中,14例接受修复的患者进行了随访研究;其中12例患者的TFCC被发现是完整的。

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