腕关节置换术和腕关节融合术并发症的管理。

Management of complications of wrist arthroplasty and wrist fusion.

作者信息

Gaspar Michael P, Kane Patrick M, Shin Eon K

机构信息

The Philadelphia Hand Center, 834 Chestnut Street, Suite G114, Philadelphia, PA 19107, USA.

The Philadelphia Hand Center, 834 Chestnut Street, Suite G114, Philadelphia, PA 19107, USA; Department of Orthopedic Surgery, Thomas Jefferson University Hospital, 132 South 10th Street, Philadelphia, PA 19107, USA.

出版信息

Hand Clin. 2015 May;31(2):277-92. doi: 10.1016/j.hcl.2015.01.004.

DOI:10.1016/j.hcl.2015.01.004

PMID:25934202

Abstract

The human wrist joint is unique from functional and anatomic standpoints. Numerous articulations exist within the wrist that allow for many options for partial wrist fusion and arthroplasty. In cases of pancarpal disease, fusion or arthroplasty of the entire wrist joint can be performed. Because of the high functional demand of the wrist, many of these surgical options can fail, leading to devastating complications. This article addresses the types of fusions and arthroplasties available for the wrist and discusses the potential complications associated with each. Methods to prevent these complications are presented and those to treat them once they have occurred are discussed.

摘要

从功能和解剖学角度来看，人类腕关节是独一无二的。腕部存在众多关节，这为部分腕关节融合术和关节成形术提供了多种选择。在全腕骨疾病的情况下，可以对整个腕关节进行融合或关节成形术。由于腕部功能需求高，这些手术选择中的许多可能会失败，导致严重的并发症。本文阐述了可用于腕关节的融合术和关节成形术的类型，并讨论了每种手术相关的潜在并发症。文中介绍了预防这些并发症的方法，并讨论了并发症发生后的治疗方法。