Tomaino M M
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, PA, USA.
J Hand Surg Br. 1999 Dec;24(6):671-5. doi: 10.1054/jhsb.1999.0268.
Thirteen wrists with ulnar neutral or negative variance were treated by open distal ulna excision (the wafer procedure). The mean follow-up was 25 months (range, 12-38). At final follow-up grip strength had increased a mean of 14 kgf and 12 of the 13 patients were very satisfied with the functional outcome and pain relief. In treatment of the ulnar impaction syndrome, the wafer procedure provides excellent pain relief and functional restoration particularly in patients with ulnar neutral or negative wrists in whom triangular fibrocartilage tears have not yet developed.
13例尺骨中立或负变异的腕关节采用开放式尺骨远端切除术（“薄片”手术）治疗。平均随访时间为25个月（范围12 - 38个月）。在末次随访时，握力平均增加了14千克力，13例患者中有12例对功能结果和疼痛缓解非常满意。在治疗尺骨撞击综合征时，“薄片”手术能提供极佳的疼痛缓解和功能恢复，尤其适用于尺骨中立或负变异且三角纤维软骨撕裂尚未发生的患者。
