中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (43): 8121-8124.doi: 10.3969/j.issn.1673-8225.2010.43.035

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

腕关节不稳的修复与重建

邱南海,张文龙   

  1. 天津市海河医院骨科，天津市  300350
  • 出版日期:2010-10-22 发布日期:2010-10-22
  • 通讯作者: 邱南海，硕士，主治医师。主要从事手外与创伤研究。天津市海河医院骨科，天津市 300350 Qiunanhai@126.com
  • 作者简介:邱南海★，男，1970年生，江西省信丰县人，汉族，1993年赣南医学院毕业，硕士，主治医师，主要从事手外与创伤研究。

Carpal instability reparation and reconstruction

Qiu Nan-hai, Zhang Wen-long   

  1. Department of Orthopedics, Tianjin Haihe Hospital, Tianjin  300350, China
  • Online:2010-10-22 Published:2010-10-22
  • About author:Qiu Nan-hai★, Master, Attending physician, Department of Orthopedics, Tianjin Haihe Hospital, Tianjin 300350, China Qiunanhai@126.com

PDF

577

被引次数

9

摘要：

背景：腕关节不稳是常见的腕关节损伤并发症，临床上可明确各期腕关节不稳的诊断，然而对腕关节不稳各期的修复重建以及晚期腕关节不稳假体置换的问题仍存在争议。
目的：通过文献检索和总结，探讨腕关节不稳的机制、诊断和修复重建的方法。
方法：应用计算机检索万方数据库和Pubmed数据库1972-01/2009-12的相关文献，检索词分别为“腕关节不稳定；腕关节损伤；修复重建”和“carpal instability；carpal injury；reparation and reconstruction”，限定文章语言种类为中文和英文。纳入34篇所述内容与腕关节不稳定的发病机制、分类、腕关节不稳定诊断以及腕关节不稳定治疗相关的文章。
结果与结论：腕关节不稳可通过患者的一般表现、X射线表现、其他影像学表现以及关节镜表现等明确诊断。腕关节不稳的治疗和修复重建可根据损伤的类型、程度以及有无退化性改变选择治疗方法，早期通过关节镜的修复重建具有手术损伤小，患者痛苦少，住院时间短，康复期短，功能恢复快的特点；晚期可通过关节融合、关节成形以及腕关节假体置换等方法可达到治疗腕不稳的目的。

关键词: 腕关节不稳定, 腕关节损伤, 修复重建, 关节镜, 关节融合, 假体置换, 综述文献

Abstract:

BACKGROUND: The wrist joint instability is a common complication of the injured joints, and the clinical symptoms of carpal instability are precise. However, the reconstruction of wrist joint instability and replacement at late stage remain controversial.
OBJECTIVE: To explore the diagnosis and reconstruction of carpal instability.
METHODS: A computer-based online search of Wanfang and Pubmed database was performed for Chinese and English articles published between January 1972 and December 2009, with the key words “carpal instability, carpal injury, reparation and reconstruction” in Chinese and English. A total of 34 articles regarding to pathogenesis, classification, diagnosis of carpal instability, and treatments were included.
RESULTS AND CONCLUSION: Carpal instability can be diagnosed by general condition, X-ray manifestations, other imaging manifestations and arthroscopic manifestations. Carpal instability treatment is selected according to injury classification, degree and degenerative changes. Early t arthroscopic reconstruction is characterized by little injury, little pain, short hospital stay and rehabilitation, and rapid functional recovery. At the final phases, joint fusion, arthroplasty and prosthesis replacement can be used to treat carpal instability.

中图分类号: