手术治疗舟骨骨折后固定的最佳方案仍存在争议。成功进行术后短暂固定的报告表明,可以通过限制固定时间来实现功能的早期恢复。然而,骨不连的风险及其相关并发症提示,采用更保守的方法并延长固定可以优化骨折愈合.本文对相关文献进行了全面回顾,并总结了无数的术后固定方案及其报告的结果。术后固定方案和报告的结果为流离失所,粉碎了,和近端极骨折分别讨论。文献回顾了不同的手术技术,包括切开复位内固定和经皮螺钉固定。有必要对手术治疗的舟骨骨折进行警惕的术后护理,以监测骨不连的迹象,同时试图恢复受伤手腕的运动和力量。
The optimal protocol for postoperative immobilization following operative treatment of scaphoid fractures remains controversial. Reports of successful management with brief postoperative immobilization suggest that earlier restoration of function may be achieved by limiting the duration of immobilization. However, the risk of nonunion and its associated complications suggest that a more conservative approach with extended immobilization could optimize fracture healing. This paper presents a thorough
review of the relevant literature and summarizes the myriad postoperative immobilization protocols and their reported outcomes. Postoperative immobilization protocols and reported outcomes for displaced, comminuted, and proximal pole fractures are discussed separately. The literature is reviewed following different operative techniques, including open reduction internal fixation and percutaneous screw fixation. Vigilant postoperative care of scaphoid fractures managed surgically is warranted to monitor for signs of nonunion while attempting to regain motion and strength to the injured wrist.