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带第二掌背动脉蒂掌骨膜瓣移植治疗腕舟骨骨折不愈合

GRAFTING OF METACARPAL PERIOSTEUM ISLAND FLAPS WITH THE SECONDARY DORSAL METACARPAL ARTERY IN TREATMENT OF WRIST SCAPHOID FRACTURE NONUNION

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【作者】 范遗恩王日光李长德翟饶生

【Author】 Fan Yien,Wang Riguang,Li Changde,et alDepartment of Orthopaedic,Teaching Hospital of Jiamusi Medical CollegeHeilongjian154002

【机构】 黑龙江省佳木斯医学院第一附属医院骨科

【摘要】 目的:介绍治疗腕舟骨骨折不愈合的一种新手术方法,丰富治疗腕舟骨骨折不愈合的手术术式。方法:切除腕舟骨骨折不愈合之硬化骨,以〔形钉固定舟骨骨折端,用带第2掌背动脉蒂掌骨骨膜瓣翻转移植治疗腕舟骨骨折不愈合11例。结果:术后6~8周骨折初步愈合,3~4个月骨折完全愈合,随访9~15个月腕关节活动正常无痛。结论:第二掌背动脉位置恒定,血管蒂长、口径粗、游离安全容易,血供充分,能有效的促进舟骨骨折愈合。

【Abstract】 Objective:An new operation method had been introduced to treat wrist scaphoid fracture nonunion The operation technique of treatment wirst scaphoid fracture nonunion had been enrichMethods:The harden bone of wrist scaphoid fracture nonunion is excised 〔 shape nail fixed scaphoid fracture end The 11 cases of wirst scaphoid fracture nonunion had been treated in overturn graft of metacarpal periosteum island flaps with the secondary dorsal metacarpal artery Results:The fracture is initial stage union in 6 ̄8 weeks after operationFracture is complete union in 3 ̄4 month after operationWrist movement is normal to feel no pain in follow up 9 ̄15 monthConclusions:The place of secondary dorsal metacarpal artery is constantBlood vessel pedicle is longblood vessel calibre is wied,Separate of blood vessel pedicel is easy and safeBlood circulation is enrichThe graft of mtacarpal periosteum island flaps with secondary dorsal metacarpal artery can promote scaphoid fracture union

  • 【文献出处】 中华显微外科杂志 ,CHINESE JOURNAL OF MICROSURGERY , 编辑部邮箱 ,1998年03期
  • 【分类号】R683.41
  • 【被引频次】3
  • 【下载频次】47
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