PDF(Pubmed)
Abstract：
BACKGROUND: Numerous studies have been published on the use of 1,2-intercompartmental supra-retinacular artery (ICSRA) as a pedicled vascularised bone graft (PVBG) in scaphoid fracture non-union, however, only very few studies have reported their results of 2,3-ICSRA. The aim of this study was to compare the patient-rated outcome scores between these two PVBGs in proximal pole scaphoid fracture non-union.
METHODS: Nineteen patients who underwent surgery for scaphoid non-union between 2017 and 2021 at a single institution were recruited retrospectively in this study. All patients were operated by a one senior orthopaedic surgeon. A mailed questionnaire with the modified mayo wrist (MMW) and the patient rated wrist evaluation (PRWE) scores were sent to the patients.
RESULTS: All patients were males with a mean age of 22.5 years. There was no statistically significant difference in the PRWE score between the two PVBGs. However, a statistically significant difference was found in the MMW score, with the 1,2-ICSRA PVBG having better scores.
CONCLUSIONS: Despite the 2,3-ICSRA having a longer arc of rotation, longer nutrient arteries, and is technically easier to incorporate in a PVBG, when compared with the 1,2-ICSRA it did not result in better patient-rated outcome scores.
METHODS: Nineteen patients who underwent surgery for scaphoid non-union between 2017 and 2021 at a single institution were recruited retrospectively in this study. All patients were operated by a one senior orthopaedic surgeon. A mailed questionnaire with the modified mayo wrist (MMW) and the patient rated wrist evaluation (PRWE) scores were sent to the patients.
RESULTS: All patients were males with a mean age of 22.5 years. There was no statistically significant difference in the PRWE score between the two PVBGs. However, a statistically significant difference was found in the MMW score, with the 1,2-ICSRA PVBG having better scores.
CONCLUSIONS: Despite the 2,3-ICSRA having a longer arc of rotation, longer nutrient arteries, and is technically easier to incorporate in a PVBG, when compared with the 1,2-ICSRA it did not result in better patient-rated outcome scores.
摘要：
背景：已经发表了许多关于使用1,2-室间视网膜上动脉（ICSRA）作为舟骨骨折不愈合的带蒂血管化骨移植物（PVBG）的研究，然而,只有很少的研究报告了2,3-ICSRA的结果。这项研究的目的是比较这两种PVBG在舟骨近端骨折不愈合中的患者评估结果评分。
方法：本研究回顾性招募了在2017年至2021年期间在单个机构接受舟骨不愈合手术的19例患者。所有患者均由一名高级骨科医师进行手术。将带有改良的Mayo腕部（MMW）和患者评估腕部评估（PRWE）评分的邮寄问卷发送给患者。
结果：所有患者均为男性，平均年龄为22.5岁。两种PVBG之间的PRWE评分没有统计学上的显著差异。然而,MMW评分有统计学上的显著差异，1,2-ICSRAPVBG评分较好。
结论：尽管2,3-ICSRA具有较长的旋转弧，更长的营养动脉，在技术上更容易并入PVBG中，与1,2-ICSRA相比,它没有导致更好的患者评估结局评分.
方法：本研究回顾性招募了在2017年至2021年期间在单个机构接受舟骨不愈合手术的19例患者。所有患者均由一名高级骨科医师进行手术。将带有改良的Mayo腕部（MMW）和患者评估腕部评估（PRWE）评分的邮寄问卷发送给患者。
结果：所有患者均为男性，平均年龄为22.5岁。两种PVBG之间的PRWE评分没有统计学上的显著差异。然而,MMW评分有统计学上的显著差异，1,2-ICSRAPVBG评分较好。
结论：尽管2,3-ICSRA具有较长的旋转弧，更长的营养动脉，在技术上更容易并入PVBG中，与1,2-ICSRA相比,它没有导致更好的患者评估结局评分.
