锚钉一期固定治疗桡骨远端骨折并发的三角纤维软骨复合体损伤_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

王炳祺 , 秦文艺 ,  孙玉福 , 万彦林 , 姜文学

1. ;
2. ;

Corresponding author：

孙玉福, Email: tjslym@sina.cn

Keywords：

桡骨远端骨折; 三角纤维软骨复合体; 锚钉; 修复

DOI：

10.7507/1002-1892.20150256

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目的总结锚钉一期固定治疗桡骨远端骨折并发的三角纤维软骨复合体（triangular fibrocartilagecomplex，TFCC）损伤的临床疗效。方法 2011年10月-2013年3月，收治9例桡骨远端骨折合并TFCC损伤患者。男6例，女3例；年龄21～56岁，平均32岁。左侧4例，右侧5例。致伤原因：交通事故伤5例，摔伤4例。受伤至手术时间5 h～10 d，平均6 d。骨折按AO分型标准： A3型5例，C1型2例，C2型2例。TFCC损伤根据Palmer分型标准均为Ⅰ B型。术中桡骨骨折复位内固定后常规检查远端尺桡关节（distal radioulnar joint，DRUJ）的稳定性，明确DRUJ不稳定后切开探查证实为TFCC损伤，行锚钉一期固定治疗。结果术后切口均Ⅰ期愈合。患者均获随访，随访时间12～18个月，平均13.5个月。X线片复查示，骨折对位可，内固定物位置满意，DRUJ关系正常；骨折均愈合，愈合时间6～8周，平均7.6周。末次随访时，按改良Mayo腕关节功能评分：获优6例，良3例，优良率为100%。结论桡骨远端骨折合并TFCC损伤时，在骨折复位内固定后行锚钉一期固定修复TFCC，能获得较满意腕关节功能。

Citation： 王炳祺, 秦文艺, 孙玉福, 万彦林, 姜文学. 锚钉一期固定治疗桡骨远端骨折并发的三角纤维软骨复合体损伤. 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.	曹洪辉, 唐康来, 邓银栓, 等. 副舟骨切除结合胫后肌腱止点前置重建治疗副舟骨源性平足症. 中国修复重建外科杂志, 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. 曹洪辉, 唐康来, 邓银栓, 等. 副舟骨切除结合胫后肌腱止点前置重建治疗副舟骨源性平足症. 中国修复重建外科杂志, 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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锚钉一期固定治疗桡骨远端骨折并发的三角纤维软骨复合体损伤

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