Berger Richard A
Division of Hand Surgery, Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Hand Clin. 2013 Feb;29(1):103-11. doi: 10.1016/j.hcl.2012.08.028. Epub 2012 Oct 2.
Resection of the ulnar head in cases of debilitating pain owing to arthrosis of the distal radioulnar joint can provide satisfying relief. However, there is mounting evidence that pain with heavier use, instability, and torque-generating weakness in more active individuals may result in less satisfying outcomes. Implant arthroplasty can provide a means to stabilize the radius to the ulna after ulnar head resection, but it requires significant attention to requisite soft tissue stabilization and alignment of the distal radius to the implant to be successful.
对于因桡尺远侧关节骨关节炎导致疼痛难忍的病例,切除尺骨头可带来令人满意的缓解效果。然而,越来越多的证据表明,在活动量较大的个体中,使用强度增加时出现的疼痛、不稳定以及产生扭矩的无力感可能导致效果不尽人意。植入式关节成形术可在切除尺骨头后提供一种使桡骨与尺骨稳定的方法,但要取得成功,需要高度重视必要的软组织稳定以及桡骨远端与植入物的对线。