摘要
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。
Objective：To study the clinical effects of self invented cartilage perichondrium autografting for the repair of ar-ticular 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.
出处
《中国骨伤》
CAS
2010年第10期784-786,共3页
China Journal of Orthopaedics and Traumatology
关键词
软骨
移植
自体
手
创伤和损伤
Cartilage
Transplantation
autologous
Hand
Wounds and injuries
