Koneczny O
Gemeinschaftskrankenhaus Herdecke/Ruhr, Klinikum der Universität Witten-Herdecke.
Handchir Mikrochir Plast Chir. 1989 Mar;21(2):79-84.
This report of thirty-five resection/interposition arthroplasties of the wrist emphasizes the value of the human dermis in comparison to other materials as a mechanically reliable and simultaneously vital interposition. In up to 75% of cases of rheumatoid arthritis this technique is indicated when the flexion contracture of the wrist disturbs the balance of the tendons and when the compensation offered by neighbouring joints is insufficient. Out of 297 joints treated by corium interposition arthroplasty, thirty-five were performed on the wrist. Review after up to sixteen years shows eighteen good, fourteen satisfactory, and three unsatisfactory results.
这份关于35例腕关节切除/植入成形术的报告强调了与其他材料相比,人真皮作为一种机械上可靠且同时具有活力的植入物的价值。在高达75%的类风湿性关节炎病例中,当腕关节的屈曲挛缩扰乱肌腱平衡且相邻关节提供的代偿不足时,就需要采用这种技术。在297例采用真皮植入成形术治疗的关节中,有35例是腕关节手术。长达16年的随访结果显示,效果良好的有18例,效果满意的有14例,效果不满意的有3例。