自体软骨-软骨膜移植重建手指关节面11例

目的:自行设计应用自体软骨-软骨膜复合物进行移植,修复手指关节的软骨缺损,达到重建关节面的目的。方法:2005年10月至2009年10月治疗11例手外伤患者,其中男7例,女4例;年龄17～50岁,平均29岁;均伴有严重手指关节毁损。进行自体软骨-软骨膜移植术,术后指导其进行适当的功能锻炼。术后按手部关节的综合评分法进行评分。结果:全部患者获得随访,时间1～4年,平均24个月。手术全部成功,无感染出现。术后2年随访,手部关节综合评分平均(41.0±0.63)分;其中优(38分)8例,良(35～38分)2例,差(30分)1例。结论:自体软骨-软骨膜复合物移植术,对关节软骨毁损的修复重建功能效果好,减少了手部外伤的伤残率。

Cartilage-perichondrium autografting for the repair articular cartilage defects of finger:a report of 11 cases

Objective: To study the clinical effects of self-invented cartilage-perichondrium autografting for the repair of articular cartilage defects,so as to reconstruct the joint surface. Methods: Among total 11 patients with hand injuries from Oct.2005 to Oct. 2009,7 patients were male and 4 patients were female,ranging in age from 17 to 50 years,with an average of 29 years. All the patients had serious injuries of finger joint and were treated with cartilage-perichondrium autografting. After the operation,function exercises were performed,and composite scores of joints at hand were used to evaluate therapeutic effects. Results: All the patients were followed-up from 1 to 4 years with an average of 24 months. The operation of all the patients were successful,and there were no infection. The mean score was (41.0±0.63) in 2 years after operation. Eight patients got an excellent result(>38 scores),2 good(from 35 to 38 scores) and 1 bad(<30 scores). Conclusion: The cartilage-perichondrium autografting method is effective to reconstruct the defects of articular cartilage,and decrease the disablement rate of hand injuries.