Haloua J P, Collin J P, Schernberg F, Sandre J
Centre Beaulieu, Chamaliéres.
Ann Chir Main. 1989;8(2):124-34. doi: 10.1016/s0753-9053(89)80005-5.
Seventy-five patients with Steinbrocker stage III et IV rheumatoid wrists underwent arthroplasty with Swanson implant. Sixty-two implants were reviewed at 5 years postoperatively. Functional criteria, namely pain, mobility and grip proved satisfactory in 66% of cases. Radiological examination revealed 23% radial implant fractures, 50% dislocated or fractured ulnar implants and 29% foreign body synovitis. This high rate of complication is disappointing given the encouraging initial results, and leads us to reconsider the appropriateness of such surgery in severe cases of rheumatoid wrist.
75例Steinbrocker III期和IV期类风湿性腕关节患者接受了Swanson假体置换术。术后5年对62个假体进行了评估。功能标准，即疼痛、活动度和握力，在66%的病例中结果令人满意。影像学检查显示23%的桡侧假体骨折，50%的尺侧假体脱位或骨折，29%的患者出现异物性滑膜炎。考虑到最初令人鼓舞的结果，如此高的并发症发生率令人失望，这促使我们重新审视在严重类风湿性腕关节病例中进行此类手术的适宜性。
