中国现代医学杂志2017，Vol.27Issue(1)：107-110,4.DOI:10.3969/j.issn.1005-8982.2017.01.022
骨水泥假体置换治疗月骨缺血性坏死的临床研究
Treatment of Kienbock's disease with bone cement prosthesis
李睿夫 1缪旭东 1闫乔生 1许有 1贾晶 1刘海龙1
作者信息
- 1. 中国人民解放军第五医院 骨科三病区，宁夏 银川 750000
- 折叠
摘要
Abstract
Objective To study the outcome and feasibility of substitution of lunate with bone cement prosthesis in Lichtman ⅢB- Ⅳ patients. Methods Ten patients were treated by lunate substitution with bone cement prosthesis between January 2004 and December 2015. The necrotic lunate was removed and replaced with bone cement in the operation. The visual analogue scale, wrist flexion angle, grip strength, carpal height ratio, radioscaphoid angle and osteoarthritic condition were measured to evaluate the result after 1-year follow-up. Results All the patients got primary healing after surgery, no subsidiary injury occurred. In the final follow up, the VAS was (2.00 ± 1.15), which was significantly improved compared with that before operation ( <0.05). The wrist flexion angle was improved to (103±7.79)o, which was much better than that before operation but still smaller than that of the normal side. Grip strength was increased to (36.80 ±5.96) kg, the improvement had statistical significance, but was only (85±13)% of strength of the normal side. The carpal height ratio was (0.54±0.02) without significant difference compared with preoperative value ( >0.05). There was no further collapse of carpal. The radioscaphoid angle was (58.80 ±6.91)o, the improvement had statistical significance compared with that before operation ( <0.05). Conclusions The lunate substitution by bone cement prosthesis can stop the collapse of carpal, relieve the pain and improve the function of hand and wrist. Bone cement prosthesis is more convenient, safer and more economic compared with other traditional prostheses.关键词
月骨缺血性坏死/骨水泥假体置换/疗效Key words
Kienbock's disease/bone cement prosthesis/curative effect分类
医药卫生引用本文复制引用
李睿夫,缪旭东,闫乔生,许有,贾晶,刘海龙..骨水泥假体置换治疗月骨缺血性坏死的临床研究[J].中国现代医学杂志,2017,27(1):107-110,4.
