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首页> 外文期刊>Journal of Hand Surgery. American Volume >Proximal Pole Scaphoid Nonunion Reconstruction With?1,2 Intercompartmental Supraretinacular Artery Vascularized Graft and Compression Screw Fixation
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Proximal Pole Scaphoid Nonunion Reconstruction With?1,2 Intercompartmental Supraretinacular Artery Vascularized Graft and Compression Screw Fixation

机译：近端杆型散文不断重建与α1,2嵌入式血管术动脉血管化移植物和压缩螺钉固定

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PurposeTo review the incidence of union of patients with proximal pole scaphoid fracture nonunions treated using a 1,2 intercompartmental supraretinacular artery (1,2 ICSRA) vascularized graft and a small compression screw. MethodsThis is a retrospective case series of 12 patients. Calculations of the size of the proximal pole fragment relative to the total scaphoid were performed using posteroanterior view scaphoid radiographs with the wrist in ulnar deviation and flat on the cassette. Analyses were repeated 3 times per subject, and the average ratio of proximal pole fragment relative to the entire scaphoid was calculated. We reviewed medical records, radiographs, and computed tomography (CT) scans of these 12 patients. The CT scans that were performed after an average of 12 weeks were ultimately used to confirm union of the scaphoid fractures. One patient was unable to have a CT so was excluded from the final calculation. ResultsAll 11 (100%) scaphoid fractures that were assessed by CT were found to be healed at the 12-week assessment point. The mean proximal pole fragment size was 18% (range, 7%–27%) of the entire scaphoid. ConclusionsThe 1,2 ICSRA vascularized graft and compression screw was an effective treatment for patients with proximal pole scaphoid fractures. Type of study/level of evidenceTherapeutic IV.
机译：目的回顾使用1,2节段间支持带上动脉（1,2 ICSRA）血管化移植物和小型加压螺钉治疗近端舟状骨骨折不愈合患者的愈合率。方法对12例患者进行回顾性病例分析。使用腕关节位于尺侧偏位且平放在暗盒上的后前视舟状骨X线照片计算近端骨柱碎片相对于整个舟状骨的大小。每个受试者重复分析3次，计算近端骨柱碎片相对于整个舟状骨的平均比率。我们回顾了这12名患者的病历、X线照片和CT扫描。平均12周后进行的CT扫描最终用于确认舟状骨骨折愈合。一名患者无法进行CT检查，因此被排除在最终计算之外。结果11例（100%）腕舟骨骨折在12周评估时全部愈合。近端骨柱碎片的平均大小为整个舟状骨的18%（范围为7%–27%）。结论1,2 ICSRA血管化骨瓣和加压螺钉是治疗舟状骨近端骨折的有效方法。研究类型/证据水平治疗IV。

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