维持重度类风湿关节炎患者的腕关节功能：类风湿关节炎中经腕关节融合分期翻修Swanson腕关节置换术的病例研究

Maintaining wrist function in severe rheumatoid arthritis: a case study of revision Swanson wrist arthroplasty staged via a wrist fusion in rheumatoid arthritis.

作者信息

Mutimer J N, Giddins G E B

机构信息

Orthopaedic Department, Royal United Hospital, Bath Combe Park, Bath, BA1 3NG England.

出版信息

Hand Surg. 2002 Dec;7(2):183-5. doi: 10.1142/s0218810402001102.

DOI:10.1142/s0218810402001102

PMID:12596276

Abstract

We present a case of revision Swanson wrist arthroplasty staged via a wrist fusion in a patient with rheumatoid arthritis. Due to extensive bone loss in the rheumatoid patient, it may not be possible initially to revise a wrist arthroplasty; however after fusion with a bone graft to regain bone stock we have demonstrated that this is possible. It may even be possible to convert such a fusion to a total wrist arthroplasty.

摘要

我们报告了一例类风湿关节炎患者通过腕关节融合术分期进行Swanson腕关节置换翻修的病例。由于类风湿患者存在广泛的骨质流失，最初可能无法进行腕关节置换翻修；然而，在通过植骨融合以恢复骨量后，我们证明这是可行的。甚至有可能将这种融合转换为全腕关节置换。