Sandow M J, Wai Y L, Hayes M G
Department of Orthopaedic Surgery and Trauma, Royal Adelaide Hospital, South Australia.
J Hand Surg Br. 1992 Aug;17(4):463-6. doi: 10.1016/s0266-7681(05)80275-x.
Successful intercarpal arthrodesis requires a stable fusion with maintenance of correct alignment and spatial relationship of the carpus. The technique described utilizes a series of tube saws to fashion the arthrodesis bed and then insert a sized iliac crest dowel bone graft with a tight interference fit. This technique has been used in 24 patients over a two-year period in both medial and lateral column intercarpal fusions. All wrists had fused by the tenth post-operative month. The technique is precise, reproducible and technically simple with a high fusion rate and minimal donor site morbidity.
成功的腕骨间关节融合术需要实现稳定的融合，并维持腕骨正确的对线和空间关系。所描述的技术使用一系列管锯制作关节融合床，然后紧密压配植入合适尺寸的髂嵴骨栓骨移植体。在两年时间里，该技术已应用于24例患者的内侧和外侧柱腕骨间融合。所有腕关节在术后第十个月均已融合。该技术精确、可重复且操作简单，融合率高，供区并发症少。
