摘要
目的了解用带血管蒂的游离腓骨头移植治疗桡骨远端骨巨细胞瘤，重建腕关节的效果。方法１９７８年７月～１９９３年１１月，采用吻合血管的腓骨头移植代替桡骨远端重建腕关节的方法治疗桡骨远端骨巨细胞瘤５例，对其中１２例进行了腕关节功能随访，随访时间为６个月～１５年，评估患者腕关节的活动范围、握力及疼痛情况。结果１１例腕关节疼痛消失，１例有轻微疼痛不适，平均腕关节掌屈３４．０５°、背伸５２．８０°、尺偏２６．２５°、桡偏１９．７５°，握力４４．６ｋｇ，分别占对侧的４６．２％、７２．７％、７６．１％、８０．６％和７６．７％。结论带血管蒂腓骨头移植代替桡骨远端重建腕关节可较好地保留腕关节的功能，是一种安全有效的方法。
Objective This paper is aimed to observe the long term result of reconstruction of wrist joint by replacing distal end of radius with vascularized fibular head in patient of giant tumor.Methods From July 1978 to November 1993, 12 cases of giant tumor of distal end of radius were treated by this procedure and followed up for 6 months to 15 years, and the movement range of wrist, grip strength, and pain were evaluated. Results The painful wrist released in 11 cases, only one case still existed mild pain and felt discomfortble. The average range of movement of wrist joint was 34.05 degree in volar flexion, 52.80 degree in dorsal extension, 26.25 degree in ulnar deviation, and 19.75 degree in radial deviation, and average grip strength was 44.6 kg. Compared with the contralateral side, there were accountd for 46.2%, 72.7%, 76.1%, 80.6%, and 76.7% respectively. Conclusion Replacement of distal end of radius with fibular head to reconstruct wrist joint can restore function of carpal joint, which is proved to be a safe and effective method.
出处
《中国修复重建外科杂志》
CAS
CSCD
1999年第3期170-172,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
腕关节
重建
腓骨头移植
Fibula Wrist joint Transplantation Reconstruction
