Figgie M P, Ranawat C S, Inglis A E, Sobel M, Figgie H E
Hospital for Special Surgery, New York, NY 10021.
J Hand Surg Am. 1990 Mar;15(2):217-23. doi: 10.1016/0363-5023(90)90098-c.
Thirty-four patients, with 35 trispherical total wrist arthroplasties for treatment of rheumatoid arthritis, were evaluated at an average follow-up of 9 years (range, 5 to 11 years). The average preoperative score was 25 points inasmuch as all patients had severe pain and loss of function. The average postoperative score improved to 87 points since 30 wrists were free of pain. Twenty-eight wrists rated as a good-to-excellent result. The average arc of flexion and extension improved from 35 to 50 degrees. There were no deep infections or dislocations. Two wrists required revision, one for loosening and one for persistent pain, both requiring removal of the implant and arthrodesis. Postoperative tendon attrition occurred in six wrists, all of which had preoperative tendon ruptures necessitating tendon transfer. Radiographs showed radiolucencies in seven wrists, including seven around the metacarpal stem and one around the radial stem. The optimum results were achieved in those patients with intact extensor tendons before operation.
对34例患者的35个全腕三球面关节置换术治疗类风湿性关节炎进行了评估，平均随访9年（范围5至11年）。由于所有患者均有严重疼痛和功能丧失，术前平均评分为25分。术后平均评分提高到87分，因为30个腕关节无疼痛。28个腕关节评定为优良结果。屈伸平均弧度从35度提高到50度。无深部感染或脱位。2个腕关节需要翻修，1个因松动，1个因持续疼痛，均需取出植入物并进行关节融合术。6个腕关节发生术后肌腱磨损，所有这些腕关节术前均有肌腱断裂，需要进行肌腱转移。X线片显示7个腕关节有透亮区，其中7个在掌骨柄周围，1个在桡骨柄周围。术前伸肌腱完整的患者取得了最佳效果。
