陈旧性腕舟骨骨折三种手术方法的疗效比较

目的:比较三种不同手术方法对腕舟骨骨折的疗效。方法:自1990～1998年,共治疗71例陈旧性腕舟骨骨折,随6访月～4年,平均14个月。随机分成:A组:桡骨茎突切除加带桡动脉茎突返支的桡骨茎突骨瓣组28例;B组:带挠动脉茎突返支的桡骨骨膜组6例;C组:单纯植骨组37例。结果:按刘树清的功能判断标准,优良率:A组为92.85％,B组为82.33％,C组为70.27％。结论:疗效比较,带桡动脉突返支的骨瓣移位效果较其它两组为优。

Cimparision of Operative Modes for Scaffold Fracture

Objective: To compare the three operative modes for treatment of scaffold fracture. Methods: Form 1990 to 1998,71 cases of old scaffold fracture had been followed and the follow- up prriod averaged fourteen months. The cases were randomly divided into three groups. Group A included 28 patients who underwent radial stylectomy plus bone flap transfer with stylus recurrent branch of radial artery,group B included 6 patients who underwent periosteum transfer with style recurrent branch of radial artery, group C included 37 patients who underwent radial stylectomy plus bone implantation. Results: Accordint to functional evaluation criteria by Liu SQ,the fine rate, was 92.855% ,83.33% and 70. 27% in group A, group B and group C, respectively. Conclusion: Radial stylectomy plus bone flap trimester with stylus recurrent branch of radial artery has better result for treatment of old scaffold fracture than the others.