自体骨-韧带-骨移植治疗慢性舟月不稳定的临床效果

doi:10.3969/j.issn.10073205.2018.03.010

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗评价自体骨-韧带-骨移植（boneretinaculumbone autograft，BRB）治疗慢性舟月不稳定的效果。
〖HTH〗方法〖HTSS〗〖KG*2〗将慢性舟月不稳定患者42例（42个腕关节）分为BRB组和Blatt关节囊固定术（Blatt capsulodesis，BC）组各21例（21个腕关节），分别行BRB手术和BC治疗。患者术后均获得随访，随访时间14~43个月。治疗前后拍摄X线片，随访时填写调查表。
〖HTH〗结果〖HTSS〗〖KG*2〗 BRB组术后舟月角和舟月间隙较术前明显减小，BC组舟月间隙较术前明显减小（P＜005），术后BRB组舟月角和舟月间隙较BC组明显减小，差异均有统计学意义（P＜005），BRB组术后Mayo指数较BC组高，差异有统计学意义（P＜005）；BRB组术后腕屈、腕伸、桡偏、尺偏和握力较术前减小，但BC组术后较术前减小更多，差异均有统计学意义（P＜005），术后BRB组腕屈、腕伸、桡偏、尺偏和握力均大于BC组，差异有统计学意义（P＜005）。
〖HTH〗结论〖HTSS〗〖KG*2〗BRB是一种治疗慢性舟月不稳定的合理选择。

关键词: 关节不稳定性, 腕, 自体骨, 韧带

Abstract: ［Abstract］ Objective〖HTSS〗〓To evaluate the effects of using a available boneretinaculumbone autograft(BRB) in the treatment of chronic scapholunate instability.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A total of 42 patients with chronic scapholunate instability were randomly divided into two groups, 21 patients were performed with the BRB, and 21 patients were performed with the Blatt capsulodesis(BC). All patients were followed up for 14 to 43 months. The Xray films were taken before and after the treatment, and the questionnaire was filled in.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓There were significant improvements in scapholunate angle and scapholunate gap at final followup examination both in BRB and BC（P＜005）. After the operation, the BRB group was significantly lower than that of the BC group, and the difference was statistically significant（P＜005）. The Mayo score in BRB group was significantly higher than that in BC group(P＜005). There were significant loss of range of motion and grip strength in BRB group after operation,but more in BC group(P＜005). The range of motion and grip strength in BRB group was significantly higher than that in BC group, the difference was statistically significant(P＜005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The BRB procedure is a reasonable option for treating chronic scapholunate instability.

Key words: joint instability, wrist, bone autograft, retinaculum

刘国峰. 自体骨-韧带-骨移植治疗慢性舟月不稳定的临床效果[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2018.03.010.

LIU guofeng. Clinical effect of boneretinaculumbone autograft in the treatment of chronic scapholunate instability[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2018.03.010.

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自体骨-韧带-骨移植治疗慢性舟月不稳定的临床效果

Clinical effect of boneretinaculumbone autograft in the treatment of chronic scapholunate instability

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