北京大学学报（医学版）2016，Vol.48Issue(2)：234-236,3.DOI:10.3969/j.issn.1671-167X.2016.02.010
腕关节镜辅助微创治疗月骨周围脱位
Arthroscopic management of lesser arc perilunate injuries
摘要
Abstract
Objective:To evaluate the outcomes of lesser arc perilunate injuries (Perilunate disloca-tions)treated with arthroscopically assisted mini-invasive reduction and fixation.Methods:Between 2012 and 2014,5 patients who had a perilunate dislocation were treated with arthroscopically assisted re-duction and percutaneous fixation.The mean follow-up was 17.8 months (range,10 to 32 months). Clinical outcomes were evaluated on the basis of range of motion;grip strength;Mayo wrist score;Quick disabilities of the arm,shoulder and hand questionnaire;and patient-rated wrist evaluation score.Radio-graphic evaluations included carpal alignments and any development of arthritis.Results:The range of flexion-extension motion of injured wrist averaged 84% of the values for contralateral wrist.The grip strength of the injured wrist averaged 90% of the values for the contralateral wrists.The mean Quick Disabilities of the arm,shoulder and hand score was 1 ,and the mean Patient-Rated Wrist Evaluation score was 5 .According to the Mayo wrist scores,the overall functional outcomes were rated as excellent in all the patients.Reduction obtained during the operation was maintained within normal ranges in all the patients.Arthritis had not developed in any patient at the end of the follow-up.Conclusion:Arthroscopic mini-invasive reduction with percutaneous fixation is a reliable and favorable alternative in the treatment of perilunate dislocations according to our early results.关键词
月骨/脱位/关节镜检查/外科手术,微创性Key words
Lunate bone/Dislocation/Arthroscopy/Surgical procedures,minimally invasive分类
医药卫生引用本文复制引用
刘波,陈山林,朱瑾,王志新,杨辰,沈杰,田光磊..腕关节镜辅助微创治疗月骨周围脱位[J].北京大学学报（医学版）,2016,48(2):234-236,3.基金项目
首都卫生发展科研专项项目（2011-2007-02）、北京市“十百千”卫生人才“千”层次项目（2011）和北京积水潭医院FRCS人才培训基金（2013）资助Supported by the Capital Health Research and Development of Special （2011-2007-02），Thousand Class Talent of Beijing Municipal Health Bureau Ten-hundred-thousand Project（2011）and Beijing Jishuitan Hospital foundation for FRCS training （）
