【摘 要】
：
目的：探讨自体髂骨成形移植重塑关节面治疗桡骨远端粉碎性骨折桡腕关节桡骨关节面关节软骨毁损性损伤的中长期疗效。方法：桡骨远端C3型骨折桡腕关节桡骨关节面软骨毁损性、严重粉碎，无法予以复位修复的患者23例采用腕掌侧切口，切开清理无法修复的关节软骨和软骨下骨，取自体髂骨修整成形，同时予以复位，成形髂骨置入重建关节面桡骨远端解剖锁定钢板固定。术后采用Sarmiento改良Gartland和Werley评分
【出 处】
：
2015成都国际骨科论坛暨四川省医学会第19次骨科学术会议
论文部分内容阅读
目的：探讨自体髂骨成形移植重塑关节面治疗桡骨远端粉碎性骨折桡腕关节桡骨关节面关节软骨毁损性损伤的中长期疗效。方法：桡骨远端C3型骨折桡腕关节桡骨关节面软骨毁损性、严重粉碎，无法予以复位修复的患者23例采用腕掌侧切口，切开清理无法修复的关节软骨和软骨下骨，取自体髂骨修整成形，同时予以复位，成形髂骨置入重建关节面桡骨远端解剖锁定钢板固定。术后采用Sarmiento改良Gartland和Werley评分法，评分内容包括是否残留桡偏、背倾畸形等；患者对疼痛活动受限或功能丧失作出主观的评价；医师对腕关节曲伸及旋转的各个活动度及握力作出客观评价；是否存在关节炎、正中神经损伤、手指功能障碍等并发症。
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