錨釘一期固定治療橈骨遠端骨折并發的三角纖維軟骨復合體損傷_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

王炳祺 , 秦文藝 ,  孫玉福 , 萬彥林 , 姜文學

1. ;
2. ;

Corresponding?author：

孫玉福, Email: tjslym@sina.cn

Keywords：

橈骨遠端骨折; 三角纖維軟骨復合體; 錨釘; 修復

DOI：

10.7507/1002-1892.20150256

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目的總結錨釘一期固定治療橈骨遠端骨折并發的三角纖維軟骨復合體（triangular fibrocartilagecomplex，TFCC）損傷的臨床療效。方法 2011年10月-2013年3月，收治9例橈骨遠端骨折合并TFCC損傷患者。男6例，女3例；年齡21～56歲，平均32歲。左側4例，右側5例。致傷原因：交通事故傷5例，摔傷4例。受傷至手術時間5 h～10 d，平均6 d。骨折按AO分型標準： A3型5例，C1型2例，C2型2例。TFCC損傷根據Palmer分型標準均為Ⅰ B型。術中橈骨骨折復位內固定后常規檢查遠端尺橈關節（distal radioulnar joint，DRUJ）的穩定性，明確DRUJ不穩定后切開探查證實為TFCC損傷，行錨釘一期固定治療。結果術后切口均Ⅰ期愈合。患者均獲隨訪，隨訪時間12～18個月，平均13.5個月。X線片復查示，骨折對位可，內固定物位置滿意，DRUJ關系正常；骨折均愈合，愈合時間6～8周，平均7.6周。末次隨訪時，按改良Mayo腕關節功能評分：獲優6例，良3例，優良率為100%。結論橈骨遠端骨折合并TFCC損傷時，在骨折復位內固定后行錨釘一期固定修復TFCC，能獲得較滿意腕關節功能。

Citation： 王炳祺, 秦文藝, 孫玉福, 萬彥林, 姜文學. 錨釘一期固定治療橈骨遠端骨折并發的三角纖維軟骨復合體損傷. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(9): 1183-1185. doi: 10.7507/1002-1892.20150256 Copy

1.	Kirchberger MC, Unglaub F, Mühldorfer-Fodor M, et al. Update TFCC:histology and pathology, classification, examination and diagnostics. Arch Orthop Trauma Surg, 2015, 135(3):427-437.
2.	Scheer JH, Adolfsson LE. Patterns of triangular fibrocartilage complex (TFCC) injury associated with severely dorsally displaced extra-articular distal radius fractures. Injury, 2012, 43(6):926-932.
3.	Palmer AK. Triangular fibrocartilage complex lesions:a classification. J Hand Surg (Am), 1989, 14(4):594-606.
4.	Ruch DS, Yang CC, Smith BP. Results of acute arthroscopically repaired triangular fibrocartilage complex injuries associated with intra-articular distal radius fractures. Arthroscopy, 2003, 19(5):511-516.
5.	Lindau T, Adlercreutz C, Aspenberg P. Peripheral tears of the triangular fibrocartilage complex cause distal radioulnar joint instability after distal radial fractures. J Hand Surg (Am), 2000, 25(3): 464-468.
6.	曹洪輝, 唐康來, 鄧銀栓, 等. 副舟骨切除結合脛后肌腱止點前置重建治療副舟骨源性平足癥. 中國修復重建外科雜志, 2012, 26(6):686-690.
7.	Taylor CJ, Bansal R, Pimpalnerkar A. Acute distal biceps tendon rupture-a new surgical technique using a de-tensioning suture to brachialis. Injury, 2006, 37(9):838-842.

1. Kirchberger MC, Unglaub F, Mühldorfer-Fodor M, et al. Update TFCC:histology and pathology, classification, examination and diagnostics. Arch Orthop Trauma Surg, 2015, 135(3):427-437.
2. Scheer JH, Adolfsson LE. Patterns of triangular fibrocartilage complex (TFCC) injury associated with severely dorsally displaced extra-articular distal radius fractures. Injury, 2012, 43(6):926-932.
3. Palmer AK. Triangular fibrocartilage complex lesions:a classification. J Hand Surg (Am), 1989, 14(4):594-606.
4. Ruch DS, Yang CC, Smith BP. Results of acute arthroscopically repaired triangular fibrocartilage complex injuries associated with intra-articular distal radius fractures. Arthroscopy, 2003, 19(5):511-516.
5. Lindau T, Adlercreutz C, Aspenberg P. Peripheral tears of the triangular fibrocartilage complex cause distal radioulnar joint instability after distal radial fractures. J Hand Surg (Am), 2000, 25(3): 464-468.
6. 曹洪輝, 唐康來, 鄧銀栓, 等. 副舟骨切除結合脛后肌腱止點前置重建治療副舟骨源性平足癥. 中國修復重建外科雜志, 2012, 26(6):686-690.
7. Taylor CJ, Bansal R, Pimpalnerkar A. Acute distal biceps tendon rupture-a new surgical technique using a de-tensioning suture to brachialis. Injury, 2006, 37(9):838-842.

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Chinese Journal of Reparative and Reconstructive Surgery

錨釘一期固定治療橈骨遠端骨折并發的三角纖維軟骨復合體損傷

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