頁籤選單縮合
| 題 名 | Lunate and Perilunate Dislocation=環月狀骨脫臼 |
|---|---|
| 作 者 | 蘇嘉瑞; 張明超; 劉毅; 羅惠熙; | 書刊名 | 中華醫學雜誌 |
| 卷 期 | 58:5 1996.11[民85.11] |
| 頁 次 | 頁348-354 |
| 分類號 | 416.26 |
| 關鍵詞 | 腕不穩定; 環月狀骨脫臼; Carpal instability; Perilunate dislocation; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景 環用狀骨脫臼為一種少見的脫臼,對於其預後影響因素則仍是 爭論。本文即討論包含骨折形式、合併損傷、手術時間、不同的固定方式等對 於其治療預後的影響。 方法 14位環月狀骨脫臼或骨折性脫臼的患者接受開放性復位及內固定手術。 在經過至少一年以上的追蹤,並使用功能性分數表及X光片作為術後評估。 結果 預後極佳的有2位,良好的有6位,尚可的有4位,另有2位則預後不 良。經分析發現,延遲治療超過一個月、骨折性脫臼、或只以Kirschner wire來 固定舟狀骨骨折的患者有較差的預後。 結論 只有早期正確診斷儘早以開放性復位、Herbert氏鋼釘牢靠固定舟狀骨 骨折及周圍韌帶修補才能提供給患者最好的治療。 |
| 英文摘要 | Background. Perilunate dislocation is an uncommon injury of the wrist due to hyperextension. The factors affecting its prognosis are still controversial. The aim of the present study was to review its fracture types, associated injuries, timing of surgery, different fixation methods and prognostic factors. Methods. Fourteen patients with perilunate dislocation or fracture dislocation were treated by open reduction and internal fixation, and were followed for at least 12 months. A functional scoring system and X-ray findings were used for follow- up evaluation. Results. Two patients had excellent results, six patients had good results, and four had fair results. Only two patients had poor results. Treatment delayed over one month, transscaphoid perilunar fracture dislocation, or fixation of the transscaphoid fracture with Kirschner wire was associated with poorer results. Conclusions. Early diagnosis of perilunate dislocation, prompt open reduction and rigid fixation for fracture combined with ligament repair can give more promising results. |
本系統中英文摘要資訊取自各篇刊載內容。