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[远侧桡尺关节融合术及卡潘迪尺骨节段切除术治疗前臂旋转受限]

[Distal radio-ulnar arthrodesis and Kapandji ulna segment resection in treatment of limited forearm rotation].

作者信息

Preisser P, Buck-Gramcko D, Hess J

机构信息

Abteilung für Handchirurgie und Plastische Chirurgie, Berufsgenossenschaftlichen Unfallkrankenhauses Hamburg.

出版信息

Handchir Mikrochir Plast Chir. 1991 Sep;23(5):255-61.

PMID:1757009
Abstract

Between 1986 and 1990 distal radioulnar arthrodesis with segment resection of the distal ulna (Sauvé-Kapandji Operation) was performed in 31 patients with posttraumatic changes of the distal radioulnar joint; 26 patients could be examined after 10 to 44 months. At the time of examination, all patients had bony fusion between distal radius and ulna; forearm rotation improved by 60.5%, 55% of the patients had significant pain relief. Grip strength also improved postoperatively, though never reaching values of the healthy hand. Two patients developed a bony regeneration, which was successfully reoperated upon in one case, 81% of the patients reported an improved wrist function.

摘要

1986年至1990年间,对31例桡尺远侧关节创伤后改变的患者实施了尺骨远端节段切除的桡尺远侧关节融合术(Sauvé-Kapandji手术);26例患者在术后10至44个月接受了检查。检查时,所有患者的桡骨远端与尺骨之间均已骨性融合;前臂旋转功能改善了60.5%,55%的患者疼痛明显减轻。握力术后也有所改善,不过从未达到健侧手的水平。2例患者出现了骨质再生,其中1例成功接受了再次手术,81%的患者报告腕关节功能有所改善。

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