Nagelvoort R W, Kon M, Schuurman A H
Universitair Medisch Centrum Utrecht, afd. Plastische, Reconstructieve en Handchirurgie, Heidelberglaan 100, 3584 CX Utrecht.
Ned Tijdschr Geneeskd. 2001 Oct 6;145(40):1913-7.
In 4 patients, a woman aged 46 years, and 3 men aged 58, 28 and 60 years, respectively, a proximal row carpectomy was done for pain and loss of function due to scapho-lunate dissociation, scaphoid nonunion, Kienböck's disease and scapho-lunate advanced collapse wrist deformity (bilateral). Pain relief was achieved post-operatively in all patients, allowing patients to return to their previous work and activities. Proximal row carpectomy involves the removal of the os scaphoideum, the os lunatum and the os triquetrum. This improves wrist extension and ulnar deviation. Intensive postoperative treatment is essential to achieve good mobility and strength.
在4例患者中，1例为46岁女性，3例为男性，年龄分别为58岁、28岁和60岁，因舟月分离、舟骨不愈合、月骨无菌性坏死以及舟月进行性塌陷性腕关节畸形（双侧）导致疼痛和功能丧失，实施了近排腕骨切除术。所有患者术后疼痛均得到缓解，能够恢复之前的工作和活动。近排腕骨切除术包括切除舟骨、月骨和三角骨。这可改善腕关节伸展和尺侧偏斜。术后强化治疗对于实现良好的活动度和力量至关重要。
