de Araujo Silva Bruno, de Souza Marcos Vinícius Marciano Campos, Carrasco Felipe Moura, Melo Gustavo Adolfo Costa, Barreiros Luiz Eduardo Luz, Labronici Pedro José
Hospital Estadual de Traumatologia e Ortopedia Dona Lindu, Paraíba do Sul, RJ, Brazil.
Faculdade de Medicina de Petrópolis (FMP), Petrópolis, RJ, Brazil.
Rev Bras Ortop. 2015 Sep 9;50(5):578-85. doi: 10.1016/j.rboe.2015.08.017. eCollection 2015 Sep-Oct.
The aim of this study was to objectively and subjectively evaluate wrist function after total arthrodesis, among patients with sequelae of non-inflammatory arthritis who were treated with rigid internal fixation using a DCP plate.
Thirty-two patients with sequelae of non-inflammatory degenerative arthritis were treated using total arthrodesis of the wrist. Of these, two patients were treated with Kirschner wires and four discontinued the treatment, thus leaving 26 patients. The indication for arthrodesis of the wrist was the presence of intracarpal pathological conditions: eight wrists presented sequelae from fractures of the distal radius; 13 had sequelae from fractures of the scaphoid; and five had sequelae from Kienbock's disease. The cases were evaluated using the visual analogue scale (VAS), the muscle strength test, the Jebsen-Taylor functional test and the Buck-Gramcko test.
It was observed that there were no significant differences at the level of 5%, in the variables of grip strength, VAS, Jebsen-Taylor functional test or Buck-Gramcko/Lohmann test, between the pathological conditions.
Total arthrodesis of the wrist using a plate in the dorsal region was shown to be a safe and efficient technique for patients with different types of pathological arthrosis of the wrist, since it did not cause any important functional incapacity and brought great pain relief.
本研究旨在对使用动力加压钢板（DCP）进行坚强内固定治疗的非炎性关节炎后遗症患者，在全腕关节融合术后进行腕关节功能的客观和主观评估。
32例非炎性退行性关节炎后遗症患者接受了腕关节全融合术治疗。其中，2例采用克氏针治疗，4例中断治疗，因此最终纳入26例患者。腕关节融合术的指征是腕骨存在病理状况：8例腕关节有桡骨远端骨折后遗症；13例有舟骨骨折后遗症；5例有月骨无菌性坏死后遗症。采用视觉模拟量表（VAS）、肌力测试、Jebsen-Taylor功能测试和Buck-Gramcko测试对病例进行评估。
观察发现，在握力、VAS、Jebsen-Taylor功能测试或Buck-Gramcko/Lohmann测试等变量方面，不同病理状况之间在5%的水平上无显著差异。
对于不同类型的腕关节病理性关节炎患者，采用背侧钢板进行腕关节全融合术是一种安全有效的技术，因为它不会导致任何重要的功能丧失，并能极大地缓解疼痛。
