Radial styloid process bone graft fixation bolt old scaphoid fracture.doc

 PAGE \* MERGEFORMAT 5 Radial styloid process bone graft fixation bolt old scaphoid fracture Of: Caoke Kui, WANG Xiang, such as, clothing hero, Liu Jinfeng [Keywords:] radial styloid process bone graft fixation bolt old scaphoid fracture Scaphoid fracture is the most common wrist fracture, the delayed union, nonunion and ischemic necrosis of the high probability of occurrence. In our hospital from March 2001 to August 2006 21 cases of old fracture of scaphoid bone, the use of ipsilateral radial styloid process bone graft with Kirschner wire fixation, to obtain better results. are as follows. 1 Clinical data 1.1 General Information The group of 21 patients, 18 males and 3 females, aged 18 to 25 years, mean 22 years old. Right side of the 15 cases, left in 6 cases. Injury time of 3.5 to 6 months with an average of 4.5 months. Which training injury in 10 cases, 6 cases of car accident injuries, falls, falls in 4 cases, 1 case of other injuries. X-ray observed scaphoid waist fractures in 10 cases, 6 cases of proximal fractures, fractures in 5 cases. 1.2 treatment of metacarpal base since the first one, the “anatomy of the nasopharynx nest” to the proximal, 3 ~ 4 cm proximal to make a “S”-shaped incision, separation of superficial branch of radial nerve protection and head veins. In the long thumb extensor pollicis brevis tendon and fascia incision between the extensor tendon to both sides of the retractor, and to protect the deep branch of radial artery. separation led to the opening carpi ulnaris tendon length to expose the wrist joint capsule, joint capsule incision so that the wrist ulnar deviation, revealing the Ministry of scaphoid and fracture as much as possible keep the organization connected to the distal scaphoid blood supply. curette with a ball or clear the ends of frustration within the fibrous tissue and sclerotic bone, marrow expansion to normal song bone. reveal radial styloid process, and chisel to take the appropriate size of the