Unglaub F, Langer M F, Unglaub J M, Sauerbier M, Müller L P, Krimmer H, Hahn P, Spies C K
Handchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.
Medizinische Fakultät Mannheim, Universität Heidelberg, Heidelberg, Deutschland.
Unfallchirurg. 2017 Jun;120(6):513-526. doi: 10.1007/s00113-017-0356-8.
Carpal bone fusions for secondary reconstruction are still indispensable despite state of the art diagnostic tools and modern treatment techniques for wrist lesions. The former fusions stabilize the wrist and enable sufficient residual carpal mobility. Pain can be reduced significantly by arthrodesis of destroyed joints and the progress of osteoarthritis may be stopped or delayed. This review presents commonly used fusions with their inherent indications, contraindications and complications.
尽管有先进的诊断工具和现代腕部病变治疗技术，但用于二次重建的腕骨融合术仍然不可或缺。前者的融合可稳定腕部并使腕骨有足够的残余活动度。通过对破坏的关节进行关节融合术可显著减轻疼痛，并且骨关节炎的进展可能会停止或延迟。本综述介绍了常用的融合术及其固有的适应证、禁忌证和并发症。
