El-Kazzi W, Robert C, Mouraux D, Feipel V, Burny F, Schuind F
Erasme University Hospital, Université libre de Bruxelles, route de Lennik 808, Brussels, Belgium.
J Hand Surg Eur Vol. 2012 Feb;37(2):149-54. doi: 10.1177/1753193411416565.
We report a series of 29 cases of wrist arthrodesis using a radiometacarpal half-frame or triangular Hoffmann configuration, bone autograft, and relocation of a retinacular rectangular flap under the extensor tendons to prevent adhesions. No splint or plaster cast has been used. Early active motion of the fingers was encouraged. The average duration of follow-up was 4 years. Bone healing was obtained in 27 patients after 104 days on average. All patients regained full finger movements and rotation of the forearm. Nine patients were reassessed on average 7.2 years after the arthrodesis: the VAS for pain at rest was 2.4/10, the DASH score 33/100, the grip strength 75% of the contralateral side on average.
我们报告了一系列29例采用桡掌骨半框架或三角形霍夫曼结构、自体骨移植以及在伸肌腱下重新定位支持带矩形皮瓣以防止粘连的腕关节融合术病例。未使用夹板或石膏固定。鼓励手指早期主动活动。平均随访时间为4年。27例患者平均在104天后实现骨愈合。所有患者均恢复了手指的完全活动和前臂的旋转功能。平均在关节融合术后7.2年对9例患者进行了重新评估：静息时疼痛的视觉模拟评分（VAS）为2.4/10，上肢功能障碍评分（DASH）为33/100，握力平均为对侧的75%。
