Allison D M
J Hand Surg Eur Vol. 2011 May;36(4):315-9. doi: 10.1177/1753193410395357. Epub 2011 Jan 31.
Partial wrist fusions are commonly performed for various degenerative conditions. In this series 30 wrists had a scaphoidectomy and midcarpal arthrodesis performed with a new plate. The most common indications were SLAC and SNAC wrists. In 24 cases a four-corner arthrodesis was done and in the other six the triquetrum was not included. Mean follow-up was 3 years. Mean flexion was 31° and extension 35°. Union was achieved in all wrists despite movement being commenced early. The plates proved straightforward to use, allowing some latitude in placement. This series confirms that scaphoidectomy and midcarpal arthrodesis is a useful salvage procedure and that these plates are suitable for that purpose.
部分腕关节融合术常用于各种退行性疾病。在本系列研究中,30例腕关节采用新型钢板进行了舟骨切除术和腕中关节融合术。最常见的适应证是舟月骨进行性塌陷(SLAC)腕和舟骨旋转性半脱位(SNAC)腕。24例进行了四角融合术,另外6例未包括三角骨。平均随访时间为3年。平均屈曲角度为31°,伸展角度为35°。尽管早期就开始活动,但所有腕关节均实现了融合。事实证明这些钢板使用简便,在放置时有一定的灵活性。本系列研究证实,舟骨切除术和腕中关节融合术是一种有效的挽救手术,并且这些钢板适用于该目的。