Scheker L R, Severo A
Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, Kentucky 40202, USA.
J Hand Surg Br. 2001 Feb;26(1):41-4. doi: 10.1054/jhsb.2000.0476.
This prospective study describes the outcome of ulnar shortening performed on 32 wrists with early osteoarthritis of the distal radiounlar joint (DRUJ) in an attempt to change the contact area between the ulnar head and the radial sigmoid notch. By changing the contact area, we attempted to relieve pain, while maintaining the function of the DRUJ. The mean age of the patients was 34 years, and the mean follow-up was three years and two months. The wrists were graded by the patients' self-assessment of satisfaction and by a clinical wrist rating that assessed pain, functional status, range of motion, and grip strength. In terms of self-assessment, 16/32 patients were very satisfied, with complete pain relief. Of the 32 patients, 26 said that they would have surgery again if circumstances were similar. The postoperative wrist ratings were 7/32 excellent, 11/32 good, 9/32 fair, 5/32 poor. The most frequent postoperative complaint was plate irritation.
这项前瞻性研究描述了对32例患有桡尺远侧关节（DRUJ）早期骨关节炎的手腕进行尺骨短缩术的结果，旨在改变尺骨头与桡骨乙状切迹之间的接触面积。通过改变接触面积，我们试图缓解疼痛，同时保持DRUJ的功能。患者的平均年龄为34岁，平均随访时间为三年零两个月。通过患者对满意度的自我评估以及评估疼痛、功能状态、活动范围和握力的临床手腕评分对这些手腕进行分级。在自我评估方面，16/32的患者非常满意，疼痛完全缓解。在32例患者中，26例表示如果情况相似，他们会再次接受手术。术后手腕评分中，7/32为优秀，11/32为良好，9/32为中等，5/32为差。术后最常见的主诉是钢板刺激。
