尺骨切除量是Sauvé-Kapandji手术后尺骨不稳定问题的一个预测因素：一项对44例患者进行1至13年随访的回顾性研究。
Amount of ulnar resection is a predictive factor for ulnar instability problems after the Sauvé-Kapandji procedure: a retrospective study of 44 patients followed for 1-13 years.
作者信息
Daecke Wolfgang, Martini Abdul-Kader, Schneider Sven, Streich Nikolaus A
机构信息
Department of Hand and Microsurgery, University of Heidelberg, Germany.
出版信息
Acta Orthop. 2006 Apr;77(2):290-7. doi: 10.1080/17453670610046055.
BACKGROUND
The Sauvé-Kapandji procedure can result in instability of the proximal ulnar stump.
PATIENTS AND METHODS
We reviewed 44 patients (mean follow-up time 6 (0.6-13) years) to investigate predictive factors for ulnar instability after Sauvé-Kapandji operation. We used several scores including an instability score specifically designed for this study.
RESULTS
Patients with a longer proximal ulnar stump had significantly lower instability scores, significantly better Mayo Modified wrist scores and DASH scores, and also less pain than those with shorter proximal ulna.
INTERPRETATION
If the shortening of the proximal stump is less than 35 mm, a reliable improvement in motion and a high patient satisfaction can be expected. The risk of a painful ulnar instability is related to the amount of resection, and can be reduced by creating a long upper ulnar stump.
背景
Sauvé-Kapandji手术可能导致尺骨近端残端不稳定。
患者与方法
我们回顾了44例患者（平均随访时间6（0.6 - 13）年），以研究Sauvé-Kapandji手术后尺骨不稳定的预测因素。我们使用了多个评分，包括专门为此研究设计的不稳定评分。
结果
尺骨近端残端较长的患者，其不稳定评分显著更低，Mayo改良腕关节评分和DASH评分显著更好，疼痛也比尺骨近端较短的患者更少。
解读
如果近端残端缩短小于35毫米，则有望在活动方面得到可靠改善，患者满意度也较高。疼痛性尺骨不稳定的风险与切除量有关，通过保留较长的尺骨近端残端可降低该风险。
Zotero 插件