doi:10.3969/j.issn.1672-5972.2023.05.008文章编号:swgk2023-05-00091生物骨科材料与临床研究ORTHOPAEDICBIOMECHANICSMATERIALSANDCLINICALSTUDY2023年10月第20卷第5期关节镜辅助下尺骨远端大斜形截骨张力带固定治疗尺骨撞击综合征的近期临床疗效观察周烽盛伟*[摘要]目的研究关节镜辅助下尺骨远端大斜形截骨张力带固定治疗尺骨撞击综合征的近期临床疗效。方法回顾性分析2016年1月至2022年4月湖北理工学院附属黄石爱康医院骨科28例关节镜辅助下尺骨远端大斜形截骨张力带固定治疗尺骨撞击综合征的患者资料，均为单侧病变。比较术前和末次随访时的VAS评分、改良Mayo腕关节评分、握力及活动度。结果术后随访时间为10～24个月，平均17.5个月。伤口均Ⅰ期愈合，截骨端平均骨愈合时间为8.5周。末次随访时VAS评分、改良Mayo腕关节评分、活动度及握力较术前明显改善，差异有统计学意义（P＜0.05）。结论关节镜辅助下尺骨远端大斜形截骨张力带固定治疗尺骨撞击综合征的近期临床疗效满意。[关键词]关节镜；尺骨撞击综合征；斜形截骨；三角纤维软骨复合体[中图分类号]R683.41[文献标识码]BAshort-termclinicalstudyonwristarthroscopicdistalulnaadjustablelargeobliqueshorteningosteotomyandtension-bandfixationforulnarimpactionsyndromeZhouFeng,ShengWei.DepartmentofOrthopedics,HuangshiLove&HealthHospitalAffiliatedofHubeiPolytechnicUniversity,HuangshiHubei,435000,China[Abstract]ObjectiveToinvestigateashort-termclinicalstudyofwristarthroscopicdistalulnaadjustablelargeobliqueshorteningosteotomyandtension-bandfixationforulnarimpactionsyndrome.MethodsFromJanuary2016toApril2022,28caseswhounderwentarthroscopicdistalulnaadjustablelargeobliqueshorteningosteotomyandtension-bandfixationforulnarimpactionsyndromeintheDepartmentofOrthopedicsofHuangshiLove＆HealthHospitalAffiliatedofHubeiPolytechnicUniversitywereretrospectivelyanalyzed,allofwhichwereunilaterallesions.ThemodifiedMayowristscore,VASscore,gripstrengthandrangeofmotionwerecomparedbeforeoperationandatthefinalfollow-up.ResultsThepostoperativefollow-uptimerangedfrom10to24months,withanaverageof17.5months.Allthewoundshealedbyfirstintention,andtheaveragebonehealingtimeoftheosteotomyendwas8.5weeks.Atfinalfollow-up,theVASscore...
