局解手术学杂志2024，Vol.33Issue(12)：1066-1069,4.DOI:10.11659/jjssx03E023024
桡动脉茎突返支蒂桡骨茎突骨(膜)瓣治疗腕舟状骨骨折的解剖基础与临床效果
Anatomical basis and clinical effect of radical styloid process bone(membrance)flap pedicled with the recurrent branch of radial artery to styloid process in the treatment of carpal scaphoid fracture
摘要
Abstract
Objective To explore the anatomical basis and clinical effect of radical styloid process bone(membrance)flap pedicled with the recurrent branch of radial artery to styloid process for repairing carpal scaphoid fracture.Methods The equal lengths of the radial styloid process in 25 adult radial specimens were measured.A latex-perfused male adult upper limb specimen was dissected to observe the course and distribution of the recurrent branch of radial artery to styloid process.The clinical data of 15 patients with carpal scaphoid fracture repaired by transposition and implantation of radical styloid process bone(membrance)flap pedicled with the recurrent branch of radial artery to styloid process were retrospectively analyzed,and the therapeutic effect was analyzed.Results The length of the radial styloid process measured on 25 radial specimens was 11 to 16 mm.Dissection of the latex-perfused male adult upper limb specimens revealed:the radial artery in the snuffbox emitted a thicker dorsal carpal branch to the ulnar side at(1.2±0.2)cm below the styloid process,and then sent a branch proximally back to the styloid process.The fracture line of 15 patients disappeared after surgery,with a fracture healing rate of 100%,and a mean healing time of 12 weeks;the Krimmer wrist joint function score showed that 6 cases were excellent,7 cases were good,and 2 cases were acceptable,with excellent and good rate of 86.7%;patients had lower postoperative pain visual analogue scale scores compared with those before surgery,the difference was significant(P<0.05).Conclusion Measuring the radial styloid process of the physical specimen and observing the course and distribution of the recurrent branch of radial artery to styloid process in adult upper limb specimens can guide the formulation of surgical plan for the treatment of carpal scaphoid fractures in clinic.The transposition and implantation of radical styloid process bone(membrance)flap pedicled with the recurrent branch of radial artery to styloid process can effectively promote fracture healing,and reduce the risk of delayed healing,which has good postoperative recovery of wrist joint function and definite clinical effect in the treatment of carpal scaphoid fractures.关键词
腕舟状骨/骨折/桡骨茎突骨瓣转位/桡动脉茎突返支/解剖Key words
carpal scaphoid/fracture/transposition of radial styloid process bone flap/recurrent branch of radial artery to styloid proces/anatomy分类
医药卫生引用本文复制引用
雷鹏程,方志辉,陶圣祥,周寅寅..桡动脉茎突返支蒂桡骨茎突骨(膜)瓣治疗腕舟状骨骨折的解剖基础与临床效果[J].局解手术学杂志,2024,33(12):1066-1069,4.基金项目
十堰市引导性项目(18Y94) （18Y94）
