Ishikawa H, Hanyu T, Saito H, Takahashi H
Department of Orthopaedic Surgery, Niigata University School of Medicine, Japan.
J Hand Surg Am. 1992 Nov;17(6):1103-9. doi: 10.1016/s0363-5023(09)91075-9.
Limited arthrodesis of the proximal carpal row to the radius, synovectomy of the extensor tendons and the wrist joint, and a Darrach procedure were carried out in 25 unstable painful rheumatoid wrists that had ulnar shift and/or palmar subluxation of the carpus. The average follow-up period after the operation was 3 years. Satisfactory results were obtained with relief of pain, improved forearm rotation, and increased grip strength. The average degree of extension and flexion was reduced, respectively, 70% and 54% at follow-up compared with the preoperative range. Postoperative x-ray films showed deterioration in the lunocapitate joint in 12 wrists; however, the wrists remained stable and painless.
对25例存在腕骨尺侧移位和/或掌侧半脱位的不稳定疼痛性类风湿性腕关节实施了近端腕骨排与桡骨的有限融合术、伸肌腱和腕关节滑膜切除术以及Darrach手术。术后平均随访期为3年。获得了满意的结果，疼痛缓解，前臂旋转改善，握力增加。随访时伸展和屈曲的平均度数与术前范围相比分别降低了70%和54%。术后X线片显示12例腕关节月头关节退变；然而，这些腕关节仍保持稳定且无痛。
