Mandarano-Filho Luiz Garcia, Campioto Débora Schalge, Bezuti Márcio Takey, Mazzer Nilton, Barbieri Cláudio Henrique
Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Hand and Microsurgery Group, Ribeirão Preto, SP, Brasil. Work developed at Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Ribeirão Preto, SP, Brasil.
Acta Ortop Bras. 2015 Nov-Dec;23(6):311-4. doi: 10.1590/1413-785220152306150054.
: To evaluate functional outcomes of patients submit-ted to proximal row carpectomy for the treatment of wrist arthri-tis.
: This is a retrospective study using wrist motion and grip strenght of patients diagnosed with Kienböck disease and scaphoid non-union surgically treated by this technique.
: Eleven patients with 2-year follow-up were evaluated. Wrist motion (flexion, extension and ulnar deviation) and grip strength were significantly better from preoperative values. Ho-wever, no difference in radial deviation was observed in these patients.
: Proximal row carpectomy provides an alternative option for treatment of wrist arthritis, resulting in better active range of motion and grip strength in the long run. Level of Evidence IV, Case Series.
评估接受近排腕骨切除术治疗腕关节炎患者的功能预后。
这是一项回顾性研究,对诊断为月骨无菌性坏死和舟骨不愈合并接受该技术手术治疗的患者进行腕关节活动度和握力评估。
对11例进行了2年随访的患者进行评估。腕关节活动度(屈曲、伸展和尺侧偏斜)和握力明显优于术前值。然而,这些患者的桡侧偏斜没有差异。
近排腕骨切除术为腕关节炎的治疗提供了一种替代选择,从长远来看可带来更好的主动活动范围和握力。证据等级IV,病例系列。