早期闭合复位联合Herbert螺钉、克氏针、锚钉治疗新鲜月骨周围骨折脱位的效果

Abstract
Figure/Table
References (17)
Related Citation (15)

Download: PDF (0 KB) HTML (38 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical effect of early closed reduction combined with Herbert screw,Kirschner wire and anchor screw for the perilunate fracture and dislocation.Methods The clinical data of 37 patients with fresh perilunate fracture and dislocation in Chaoyang Center Hospital from January 2014 to may 2019 were retrospective analyzed.They were divided into the observation group(23 cases)and the control group(14 cases)according to the treatment method.In the observation group,closed reduction of fracture and dislocation in the early stage,all the fractures were fixed with hollow compression screw and/or Kirschner wire,and the mini suture anchors were performed to repair intercarpal ligament in a limited incision while the intercarpal joints were temporarily fixed with Kirschner wire.In the control group,patients were treated with closed reduction and Kirschner wire internal fixation and plaster cast external fixation.The differences of wrist function,wrist flexion and extension range of motion,fracture healing,complication（re-dislocation,nonunion and osteonecrosis）were compared between the two groups.Results The Cooney wrist function scores in the observation group was higher than that in control group,the difference was statistically significant(P＜0.05).The healing time of fracture in observation group was shorter than that in control group,the difference was statistically significant(P＜0.05).The range of wrist flexion and extension was larger than that in control group,the difference was statistically significant(P＜0.05).And the total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).Conclusion Early closed reduction combined with Herbert screw,Kirschner wire and repair of intercarpal ligament with mini suture anchors is a good treatment for fresh periosteal fracture and dislocation.It can effectively promote fracture healing,reduce the occurrence of complications,enable patients to obtain good wrist joint function,and prevent the occurrence of wrist instability.

Key words： Lunate bone Ligament Herbert screw Perilunate dislocation

Received: 15 June 2020

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Chuan-hui
	SUN Cheng-shuai

Cite this article:

ZHANG Chuan-hui,SUN Cheng-shuai. Early closed reduction combined with Herbert screw,Kirschner wire and mini suture anchors in the treatment of periosteal fracture and dislocation[J]. 中国当代医药, 2021, 28(2): 77-80.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I2/77

[14]	靳亮，于亚东，白延斌，等.月骨周围背侧脱位韧带损伤及手术修复后的生物力学研究[J].河北医药，2015，37（9）：1337-1340.
[1]	Subramanian K，Arora B，Bhatnagar A，et al.Perilunate Dislocation-Case Report and Review of Literature[J].J Clin Diagn Res，2017，11（8）：6-8.
[2]	Inoue G，Tanaka Y，Nakamura R.Treatment of trans-scaphoid perilunate dislocations by internal fixation with the Herbert screw[J].J Hand Surg Br，1990，15（4）：449-454.
[3]	Kural C，Tanriverdi B，Ercin E，et al.The surgical outcomes of trans-scaphoid perilunate fracture-dislocations[J].Turk J Med Sci，2020，50（1）：25-30.
[4]	Cooney WP，Bussey R，Dobyns JH，et al．Difficult wrist fractures．Perilunate fracture dislocations of the wrist[J].Clin Orthop Relat Res，1987，214：136-147．
[5]	Frane N，Goldenberg W.Perilunate Dislocation.2020 May
31	In:StatPearls[Internet].Treasure Island（FL）：StatPearls Publishing，2020 Jan.
[6]	唐春晖，姚高文，王林等.切开复位内外固定结合锚钉修复腕骨间韧带治疗月骨周围损伤[J].中国骨伤，2018，31（9）：863-866.
[7]	钱辉，陈国兆，黄建平等.外固定支架结合空心螺钉克氏针内固定治疗舟骨骨折合并经舟骨月骨周围脱位[J].中华手外科杂志，2016，32（2）：87-89.
[8]	Muppavarapu RC，Capo JT.Perilunate Dislocations and Fracture Dislocations[J].Hand Clin，2015，31（3）：399-408.
[9]	梅国华，范存义，柴益民等.复位内固定联合腕骨间韧带修补治疗急性经舟月骨或月骨周围脱位[J].中华手外科杂志，2010，26（3）：175-178.
[10]	张颖，路来金，宫旭，等.舟骨、月骨骨折和（或)脱位的疗效分析[J].中华骨科杂志，2015，35（2）：183-188.
[11]	张欣，魏强，纪方，等.手法整复石膏外固定治疗经舟状骨骨折月骨周围脱位[J].中国骨伤，2018，31（5）：441-445.
[12]	赵喆，何百昌，谢永廉，等.关节镜下自体骨移植经皮内固定治疗腕舟骨骨不连的临床疗效[J].中华骨科杂志，2019，39（11）：699-706.
[13]	刘波，陈山林，田光磊，等.经皮螺钉内固定治疗舟骨骨折114 例随访结果[J].骨科临床与研究杂志，2017，2（1）：17-23.
[15]	贾晶，赵玲珑，石宇.切开复位无头空心加压螺钉固定结合腕骨间韧带修复治疗新鲜经舟骨月骨周围脱位[J].中国骨与关节损伤杂志，2015，30（7）：772-773.
[16]	Clementson M，Bjorkman A，Thomsen NOB.Acute scaphoid fractures:guidelines for diagnosis and treatment[J].EFORT Open Rev，2020，5（2）：96-103.
[17]	尚峥辉，梁杰，严超，等.带血管蒂骨瓣联合外固定支架及内固定治疗陈旧性经舟骨月骨周围脱位[J].中华显微外科杂志，2016，39（6）：544-547.