文章摘要

腕关节镜辅助治疗手舟骨骨不连的治疗进展

作者: 1,2吕利军, 3彭伟, 4常艳艳, 1李闯兵, 2刘鹏, 1樊博, 1高秋明
1 中国人民解放军联勤保障部队第九四〇医院骨科中心，兰州 730050
2 甘肃中医药大学第一临床医学院，兰州 730000
3 武警甘肃总队医院康复科，兰州 730000
4 白银市第一人民医院中心手术室，白银 甘肃 730900
通讯: 高秋明 Email: gaoqm001@sohu.com
DOI: 10.3978/j.issn.2095-6959.2022.11.037
基金: 国家自然科学基金(31800812)；甘肃省青年科技基金(20JR5RA593)；军队医学科技青年培育计划孵化项目(20QNPY069)；甘肃省自然科学基金(21JR11RA001)。

摘要

手舟骨骨折是腕骨骨折中最常见的骨折。由于该部位解剖结构复杂、血供特殊及诊断存在困难等原因，手舟骨骨折后易出现骨折延迟愈合甚至发生骨不连，导致腕关节功能受限。尽管国内外对于手舟骨骨不连的治疗有多种手术方式，但仍存在较大争议。近年来，随着微创技术不断发展，腕关节镜技术取得良好的临床应用。研究证明腕关节镜辅助内固定植骨技术治疗手舟骨骨不连具有并发症低、高愈合率及改善腕关节功能等优势。
关键词： 舟骨；骨不连；内固定；腕关节镜；骨移植

Progress of arthroscopic-assisted treatment for scaphoid nonunion

Authors: 1,2LÜ Lijun, 3PENG Wei, 4CHANG Yanyan, 1LI Chuangbin, 2LIU Peng, 1FAN Bo, 1GAO Qiuming
1 Orthopedic Center, The 940th Hospital of Joint Service Support Force of Chinese People’s Liberation Army, Lanzhou 730050, China
2 First Clinical Medical College, Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China
3 Rehabilitation Department, Gansu Armed Police Corps Hospital, Lanzhou 730000, China
4 Central Operating Room, Baiyin First People’s Hospital, Baiyin Gansu 730900, China

CorrespondingAuthor: GAO Qiuming Email: gaoqm001@sohu.com

DOI: 10.3978/j.issn.2095-6959.2022.11.037

Foundation: This work was supported by the National Natural Science Fund (31800812), Gansu Youth Science and Technology Fund (20JR5RA593), Incubation Project of Military Science and Technology Youth Cultivation Program (20QNPY069), and the Natural Science Foundation of Gansu Province (21JR11RA001), China.

Abstract

Scaphoid fracture is the most common fracture in wrist fracture. Due to the complicated anatomical structure, special blood supply and difficulty in diagnosis, it is prone to delayed union or even nonunion after scaphoid fracture, leading to limited wrist function. Although there are many surgical methods for the treatment of scaphoid nonunion at home and abroad, there is still much controversy. In recent years, with the continuous development of minimally invasive technology, wrist arthroscopy has achieved good clinical application. It has been proved that arthroscopic-assisted bone grafting and internal fixation in the treatment of scaphoid nonunion has the advantages of low complications, high healing rate, and improvement of wrist joint function.

Keywords： scaphoid bone; bone nonunion; internal fixation; wrist arthroscopy; bone grafting

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