Barbier O, Saels P, Rombouts J J, Thonnard J L
Department of Orthopaedic Surgery, University of Louvain, Brussels, Belgium.
J Hand Surg Br. 1999 Feb;24(1):27-31. doi: 10.1016/s0266-7681(99)90015-3.
The purpose of this study was to evaluate the long-term effectiveness of wrist fusion on the relief of pain and also the functional capacities of the upper limbs in patients with rheumatoid arthritis (RA). Eighteen patients were assessed at a mean of 7 years after wrist arthrodesis and a mean of 17 years after the onset of RA. Radiological measurements, pain assessment and impairment rating of the upper limbs were made of the fused and non-fused sides. The average position of arthrodesis was 8 degrees of extension and 9 degrees of ulnar deviation. All patients were pleased with the procedure and had satisfactory pain relief. Impairment ratings did not detect any significant difference in the sensory and motor function of the hand when the fused and non-fused groups were compared. We conclude that in patients with rheumatoid arthritis, wrist arthrodesis is a reliable procedure that provides predictable pain relief and a high degree of satisfaction without additional functional loss in the upper limb.
本研究的目的是评估腕关节融合术对类风湿关节炎（RA）患者缓解疼痛的长期效果以及上肢的功能能力。18例患者在腕关节融合术后平均7年、类风湿关节炎发病后平均17年接受评估。对融合侧和未融合侧进行了放射学测量、疼痛评估和上肢功能障碍评级。关节融合的平均位置为伸展8度和尺侧偏斜9度。所有患者对该手术都很满意，疼痛缓解效果良好。比较融合组和未融合组时，功能障碍评级未发现手部感觉和运动功能有任何显著差异。我们得出结论，对于类风湿关节炎患者，腕关节融合术是一种可靠的手术方法，可提供可预测的疼痛缓解效果，且患者满意度高，上肢不会出现额外的功能丧失。
