带血管蒂桡骨瓣植入联合内固定治疗陈旧性手舟骨骨折

目的探讨治疗陈旧性舟状骨骨折的手术方法。方法对6例陈旧性舟状骨骨折,采用带血管蒂桡骨瓣治疗。结果6例骨折全部骨性愈合。腕关节功能恢复达健侧标准,活动时无疼痛。结论该术式手术操作简单,舟状骨骨折端植入的带血管蒂骨瓣与舟状骨建立血供,可缩短骨折愈合时间及提高骨折愈合率,是治疗陈旧性舟状骨骨折的一种有效的手术方法。

Grafting of radial bone flap with vascular pedicle for treatment of old scaphoid fracture

Objective To investigate the surgical procedures for treatment of old scaphoid fracture.Methods 6 patients with old scaphoid fracture were treated with vascularized bone grafting from the distal radius.Results All the 6 patients healed with bone union,restored normal wrist joint function function and had no pain during exercise.Conclusion This operative technique is simple.The vascularized radial bone graft can improve bone healing with a reduced healing time and increased healing rate.This surgical technique is an effective way to treat old scaphoid fracture.