학술논문
带线骨锚钉重建腕背韧带治疗腕关节骨折脱位 / Reconstruction of dorsal carpal ligament with suture bone anchor in the treatment of fracture and dislocation of wrist joint
Document Type
Academic Journal
Author
闫立强; 胡坤然; 王丰羽; 邵新中; 王欣彤; 陆海军; 赵桂林; YAN Li-qiang; HU Kun-ran; WANG Feng-yu; SHAO Xin-zhong; WANG Xin-tong; LU Hai-jun; ZHAO Gui-lin
Source
临床骨科杂志 / Journal of Clinical Orthopaedics. 27(1):70-74
Subject
Language
Chinese
ISSN
1008-0287
Abstract
目的 探讨带线骨锚钉重建腕背韧带治疗腕关节骨折脱位的疗效.方法 将45 例腕关节骨折脱位患者按照治疗方法不同分为观察组(采用带线骨锚钉重建腕背韧带治疗,20 例)和对照组(采用直接缝合腕背韧带治疗,25 例).记录两组术中出血量、手术时间、患肢肿胀率、疼痛VAS评分、腕关节活动度.采用 Cooney评分系统评价临床疗效.结果 患者均获得随访,时间12～24 个月.术中出血量、手术时间两组比较差异均无统计学意义(P>0.05).术后2 个月,患肢肿胀率和疼痛VAS评分观察组均低于对照组(P<0.05).术后12 个月,腕关节活动度观察组均明显大于对照组(P<0.01);采用 Cooney评分系统评价的优良率观察组高于对照组(P<0.05).结论 带线骨锚钉重建腕背韧带是治疗腕关节骨折脱位的有效方法.
Objective To investigate the effect of the reconstruction of dorsal carpal ligament with suture bone anchor in the treatment of fracture and dislocation of wrist joint.Methods The 45 patients with fractures and dislocations of wrist joints were divided into observation group(20 cases were treated with reconstruction of the dorsal carpal ligament using suture bone anchors)and control group(25 cases were treated with direct suture of the dorsal carpal ligament),according to different treatment methods.The intraoperative bleeding volume,operation time,the swelling rate of the effected limbs,pain VAS,wrist range of motion were recorded in the the two groups.Cooney scoring system was used to evaluate clinical efficacy.Results All patients were followed up for 12～24 months.There were statistical differ-ences in the intraoperative bleeding volume,operation time between two groups(P>0.05).At 2 months postopera-tion,the swelling rate of the effected limbs,pain VAS of the observation group were both lower than those of the control group(P<0.05).At 12 months postoperation,the wrist ranges of motion in the observation group were all larger than the control group(P<0.01);and the excellent-good rate evaluated with Cooney scoring system in the observation group was higher than the control group(P<0.05).Conclusions Reconstruction of dorsal carpal ligament injury with suture bone anchor is an effective treatment method for fracture and dislocation of wrist joint.
Objective To investigate the effect of the reconstruction of dorsal carpal ligament with suture bone anchor in the treatment of fracture and dislocation of wrist joint.Methods The 45 patients with fractures and dislocations of wrist joints were divided into observation group(20 cases were treated with reconstruction of the dorsal carpal ligament using suture bone anchors)and control group(25 cases were treated with direct suture of the dorsal carpal ligament),according to different treatment methods.The intraoperative bleeding volume,operation time,the swelling rate of the effected limbs,pain VAS,wrist range of motion were recorded in the the two groups.Cooney scoring system was used to evaluate clinical efficacy.Results All patients were followed up for 12～24 months.There were statistical differ-ences in the intraoperative bleeding volume,operation time between two groups(P>0.05).At 2 months postopera-tion,the swelling rate of the effected limbs,pain VAS of the observation group were both lower than those of the control group(P<0.05).At 12 months postoperation,the wrist ranges of motion in the observation group were all larger than the control group(P<0.01);and the excellent-good rate evaluated with Cooney scoring system in the observation group was higher than the control group(P<0.05).Conclusions Reconstruction of dorsal carpal ligament injury with suture bone anchor is an effective treatment method for fracture and dislocation of wrist joint.