...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Hand Surgery. American Volume >Vascularized graft from the metatarsal base for reconstructing major osteochondral distal radius defects
【24h】

Vascularized graft from the metatarsal base for reconstructing major osteochondral distal radius defects

机译：the骨基底的血管移植物，用于重建主要的骨软骨远端distal骨缺损

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Purpose To present our experience of reconstructing distal radius articular defects with a vascularized osteochondral graft from the metatarsal base and to present the mid-term outcomes. Methods Seven patients (average age, 36 y; range, 26-55 y) who had reconstruction of major defects of the articular surface of the radius are presented. In 5, the lunate facet and sigmoid notch were reconstructed; in 1, an isolated defect on the surface of the lunate facet was reconstructed; and in 1, the scaphoid facet was reconstructed. In 6, the base of the third metatarsal was transferred, and in 1, the base of the second was transferred. Results All flaps survived without complications. At the latest follow-up (range, 20 mo to 8 y), the flexion-extension arc improved an average of 50, and the pain on a visual analog scale decreased from 8 to 1 on average. Disabilities of the Arm, Shoulder, and Hand score improved from 54 to 11 on average. One patient did not improve. No major complaints related to the donor site were mentioned (average American Orthopedic Foot and Ankle Society score of 96/100). Conclusions Our mid-term results are promising; however, the decision-making process and the operation are complex. The operation is not indicated when the carpals are devoid of cartilage or when the defect involves the whole radius surface. Type of study/level of evidence Therapeutic IV.
机译：目的介绍从with骨底部血管化骨软骨移植物重建radius骨远端关节缺损的经验，并提出中期结果。方法提出7例平均the骨关节面主要缺损修复的患者（平均年龄36岁;范围26-55岁）。 5，重建月牙面和乙状结肠切迹;在图1中，重建了孤立的月牙面表面缺陷;在1中，舟骨刻面被重建。在6中，第三the骨的基部被转移，而在1中，第二second骨的基部被转移。结果所有皮瓣均存活，无并发症。在最近的随访中（范围从20 mo到8 y），屈伸弧平均改善了50，视觉模拟评分的疼痛平均从8降低到1。手臂，肩膀和手部的残疾评分从54平均提高到11。一名患者没有改善。没有提及与供体部位有关的主要抱怨（美国矫形足踝学会平均评分为96/100）。结论我们的中期结果是有希望的。但是，决策过程和操作很复杂。当腕骨没有软骨或缺损涉及整个radius骨表面时，则不进行该手术。研究类型/证据水平治疗IV。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号