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联合血管化骨移植技术用于Kienböck疾病中移位冠状骨折:一个案例报告

Sineenart Honglertkawin¹, Sitthiphong Suwannaphisit², Kenji Kawamura³

¹Department of Orthopaedics, Phatthalung Hospital, Phatthalung, Thailand.

The journal of hand surgery Asian-Pacific volume

|November 27, 2025

概括

对于年轻运动员来说,Kienböck病的治疗可能涉及关节保护性重建. 这种手术方法,即使有潜在的疾病进展,也可以为手腕疼痛和握力带来有利的功能结果.

科学领域:

整形外科手术整形外科手术
肌肉骨系统疾病肌肉骨系统疾病
运动医学运动医学

背景情况:

基恩博克病的外科治疗是有争议的,受患者因素和疾病严重程度的影响.
一名18岁的羽毛球运动员出现了预示Kienböck疾病晚期的症状,包括移位月经骨折 (Lichtman Stage IIIC, Bain grade 2b) 和血管功能受损.

研究的目的:

在一个年轻,活跃的患者身上呈现Kienböck病例.
为了评估使用库尔曼技术与血管化骨移植的关节保存重建的有效性.

主要方法:

一个移位的冠状骨骨折被用库尔曼技术和血管化骨移植治疗.
对半径的临时脚固定被用来在愈合期间卸载月经.

主要成果:

在2年的随访中,患者在手腕疼痛,握力和运动范围方面经历了显著改善.
放射性月球性关节炎在术后发展,但功能结果仍然有利.

结论:

关节保护性重建,尽管可能导致Kienböck病的进展,但可以在年轻,活跃的患者中获得有利的功能结果.
库尔曼技术与血管化骨移植为复杂的月球骨折提供了可行的手术选择.

关键词:

冠状动脉骨折冠状动脉骨折联合保存联合保存基恩博克病 (Kienböck病) 是一种疾病.卢纳特重建的重建工作血管化的骨头移植

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