[1]唐富永△,陈曚,赵樑,等.关节镜治疗三角纤维软骨复合体损伤的临床研究[J].中国中医骨伤科杂志,2019,27(05):35-39.
 TANG Fuyong,CHEN Meng,ZHAO Liang,et al.Arthroscopy for the Treatment of Triangular Fibrocartilage Complex Type Palmer 1B Injury[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(05):35-39.
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关节镜治疗三角纤维软骨复合体损伤的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年05期
页码:
35-39
栏目:
临床论著
出版日期:
2019-05-15

文章信息/Info

Title:
Arthroscopy for the Treatment of Triangular Fibrocartilage Complex Type Palmer 1B Injury
文章编号:
1005-0205(2019)05-0035-05
作者:
唐富永1△陈曚1赵樑1梁志超1
1广州市正骨医院(广州,510000)
Author(s):
TANG Fuyong1△CHEN Meng1ZHAO Liang1LIANG Zhichao1
1Guang zhou Orthopaedic Hospital,Guangzhou 510000,China.
关键词:
三角纤维软骨复合体损伤 关节镜 治疗
Keywords:
triangular fibrocartilage complex arthroscopy treatment
分类号:
R686
文献标志码:
A
摘要:
目的:探讨腕关节镜配合Wafer术式治疗三角纤维软骨复合体Palmer 1B型损伤的近期疗效。方法:回顾性分析本院2015年1月到2017年1月收治的三角纤维软骨复合体Palmer1B型损伤16例,收集术后并发症、DASH功能评分、Mayo腕关节功能评分、VAS疼痛评分、腕关节活动度、手握力等数据。结果:16例患者均获随访,平均随访时间21.1个月,术后VAS疼痛评分、腕关节尺偏活动度及Dhillon功能评分明显较术前改善,差异有统计学意义(P<0.05); Mayo腕关节功能评分,优10例,良4例,可2例,优良率87.5%; 术后患侧手握力(191.10±30.58)N,健侧为(247.45±26.42)N,差异有统计学意义(P<0.05); 16例患者随访期间未发生严重并发症发生; 16例患者平均脱离工作岗位24.6 d,12(75%)例患者康复后返回当初的工作岗位,4(25%)例患者更换了新的工作。结论:腕关节镜配合Wafer术式治疗三角纤维软骨复合体Palmer 1B型损伤能明显缓解患者疼痛,改善腕关节功能,大部分患者能够返回最初的工作状态,临床疗效满意。
Abstract:
Objective:To investigate the short-term effect of wrist arthroscopy combined with Wafer procedure in the treatment of Palmer 1B type damage of the triangular fibrocartilage complex. Methods:A retrospective analysis of 16 cases of triangular fibrocartilage complex Palmer 1B injury in our hospital from January 2015 to January 2017.The postoperative complications, DASH score, Mayo Wrist Score,visual analogue,wrist joint activity, hand grip strength, and time to return to work were collected. Results:All 16 patients were followed up for an average of 21.1 months.Postoperative VAS pain score, wrist ulnar deviation activity and Dhillon function score were significantly improved than preoperation, and the difference was statistically significant(P<0.05). Mayo wrist function score was excellent in 10 cases, good in 4 cases, fair in 2 cases, and the excellent and good rate was 87.5%. The affected wrist grip strength was(191.10±30.58)N, and the unaffected wrist was(247.45±26.42)N, P<0.05.No serious complications occurred during the follow-up period.On average,16 patients were separated from their work for 24.6 days, 12(75%)returned to their original jobs after rehabilitation, and 4(25%)patients changed their jobs.Conclusion:Wrist arthroscopy combined with Wafer procedure for the treatment of Palmer 1B type damage of the triangular fibrocartilage complex can obviously relieve the pain and improve the function of the wrist joint. Most patients can return to the initial working condition and the clinical effect is satisfactory.

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备注/Memo

备注/Memo:
通信作者 E-mail:1203097404@qq.com
更新日期/Last Update: 2019-05-15