Warwick D, Shyamalan G, Balabanidou E
University Hospital, Tremona Road, Southampton SO16 6YD, UK.
Ann R Coll Surg Engl. 2013 Sep;95(6):427-32. doi: 10.1308/003588413X13629960048235.
The aim of this study was to explore the indications and show the early to mid-term results of ulnar head replacement for the treatment of pathological conditions of the distal radioulnar joint.
Our study group comprised 52 patients with a mean age of 64 years who had 56 ulnar head replacements. Seven were implanted to salvage an unstable deletive procedure; the rest were for primary treatment of osteoarthritis, rheumatoid arthritis and trauma. Concomitant procedures along with the ulnar head replacement included wrist arthrodesis, joint replacement and tendon transfers.
The follow-up duration ranged from 1 year to 11 years (mean: 60 months, median: 60 months). In almost all of the patients, pain improved with a median visual analogue scale score of 2 (mean: 2.2, range: 0-8) and a median DASH (Disabilities of the Arm, Shoulder and Hand) score of 12.5 (mean: 17.9, range: 0-56). Of the 52 patients, 47 reported they would have the same procedure again.
Ulnar head replacement appears to be a reliable and effective procedure solving several pathological problems of the distal radioulnar joint. We present a large patient group with a short to medium-term follow-up duration.
本研究旨在探讨尺骨头置换术治疗桡尺远侧关节病变的适应症，并展示其早中期结果。
我们的研究组包括52例患者，平均年龄64岁，共进行了56次尺骨头置换术。其中7例是为挽救不稳定的破坏性手术而植入；其余的是用于骨关节炎、类风湿性关节炎和创伤的初次治疗。与尺骨头置换术同时进行的手术包括腕关节融合术、关节置换术和肌腱转移术。
随访时间为1年至11年（平均：60个月，中位数：60个月）。几乎所有患者的疼痛都有所改善，视觉模拟量表评分中位数为2（平均：2.2，范围：0 - 8），上肢、肩部和手部功能障碍评分（DASH）中位数为12.5（平均：17.9，范围：0 - 56）。52例患者中，47例表示愿意再次接受相同手术。
尺骨头置换术似乎是解决桡尺远侧关节多种病理问题的可靠且有效的手术方法。我们展示了一个进行了短期至中期随访的大型患者群体。
