De Smet L, Degreef I, Truyen J, Robijns F
Department of Orthopaedic Surgery, UZ Pellenberg, Lubbeek, Belgium.
Acta Chir Belg. 2005 Nov-Dec;105(6):626-30. doi: 10.1080/00015458.2005.11679790.
to compare a motion preserving procedure of the wrist with the wrist arthrodesis, the so-called gold standard in patients with posttraumatic wristpain.
non randomized retrospective
University Hospital--referral centre
we studied two groups of patients with posttraumatic wrist pain due to osteoarthritis of the radiocarpal joint: one group of 35 patients underwent a radiocarpometacarpal arthrodesis, the other group of 26 patients a proximal row carpectomy (PRC). There were no significant differences in age and gender or hand dominance distribution.
proximal row carpectomy versus radiocarpal arthrodesis.
DASH (disability of arm, shoulder and hand) gripping force, return to activity, complications and reintervention frequence.
Disability (DASH score) and regaining professional activity was significantly better in the PRC group. There was no significant difference in gripping force between the PRC and the arthrodesis group. Complications were less numerous.
A mobility saving procedure as a PRC is preferable over an arthrodesis in patients with posttraumatic wrist osteoarthritis.
比较腕关节保留运动功能手术与腕关节融合术（创伤后腕关节疼痛患者的所谓金标准）。
非随机回顾性研究
大学医院——转诊中心
我们研究了两组因桡腕关节骨关节炎导致创伤后腕关节疼痛的患者：一组35例患者接受了桡腕掌关节融合术，另一组26例患者接受了近排腕骨切除术（PRC）。两组在年龄、性别或用手习惯分布上无显著差异。
近排腕骨切除术与桡腕关节融合术。
上肢、肩部和手部功能障碍评分（DASH）、握力、恢复活动情况、并发症及再次干预频率。
PRC组的功能障碍（DASH评分）及恢复职业活动情况明显更好。PRC组与融合术组之间的握力无显著差异。并发症较少。
对于创伤后腕关节骨关节炎患者，近排腕骨切除术这种保留运动功能的手术比融合术更可取。
