Hom S, Ruby L K
Department of Orthopaedic Surgery, Tufts University School of Medicine, New England Medical Center, Boston, Mass.
J Hand Surg Am. 1991 Mar;16(2):334-9. doi: 10.1016/s0363-5023(10)80122-4.
We report a retrospective review of seven patients with chronic scapholunate dissociation treated with attempted scapholunate arthrodesis. All procedures were done between 1978 to 1983 by one surgeon. Seven patients with follow-up of nine months or greater were available for review. Follow-up for the four patients with successful operations averaged seventy-seven months. Average age was 34 years (range from 19 to 46). Only one patient demonstrated radiographic fusion. Of the remaining six patients, three had no further wrist pain. The other three operations were total failures requiring other procedures for pain relief. For all patients, flexion-extension are decreased an average of 4 degrees. Grip strength averaged 88% of the unaffected side. Lateral scapholunate angle improved from an average preoperative angle of 70 degrees to a postoperative angle of 59 degrees. We conclude that this procedure is not a predictable method to treat scapholunate dissociation.
我们报告了对7例尝试进行舟月关节融合术治疗慢性舟月关节分离患者的回顾性研究。所有手术均由一名外科医生在1978年至1983年间完成。7例随访时间达9个月或更长时间的患者可供评估。4例手术成功患者的平均随访时间为77个月。平均年龄为34岁（范围为19至46岁）。只有1例患者影像学显示融合。其余6例患者中，3例不再有腕部疼痛。另外3例手术完全失败，需要采取其他措施缓解疼痛。所有患者的屈伸活动平均减少4度。握力平均为健侧的88%。舟月关节外侧角从术前平均70度改善至术后59度。我们得出结论，该手术并非治疗舟月关节分离的可预测方法。
