De Smet Luc, Deprez Patrick, Duerinckx Joris, Degreef Ilse
Department of Orthopaedic Surgery, KUL University Hospital Pellenberg, Leuven, Belgium.
Acta Orthop Belg. 2009 Jun;75(3):323-7.
Twenty eight patients with advanced carpal collapse (20 with scapho-lunate advanced collapse [SLAC] and 8 with scaphoid-nonunion advanced collapse [SNAC]) who were treated with a four-corner arthrodesis were reviewed; 23 had a good or excellent outcome. The mean DASH score was 41. The flexion/extension arc decreased from 72 degrees to 52 degrees. Gripping force increased from 46% to 72%. The range of motion was better in those with a traditional fixation (K-wires or screws) compared to the newer circular plates. There was no significant difference concerning pain relief, gripping force and disability.
对28例晚期腕骨塌陷患者（20例舟月骨晚期塌陷[SLAC]和8例舟骨不愈合晚期塌陷[SNAC]）进行四角关节融合术治疗并进行回顾性分析；23例患者疗效良好或极佳。DASH评分平均为41分。屈伸弧度从72度降至52度。握力从46%增至72%。与新型环形钢板相比，采用传统固定方式（克氏针或螺钉）的患者活动范围更佳。在疼痛缓解、握力和功能障碍方面无显著差异。
