Grandizio Louis C, Maschke Steven
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH.
Tech Hand Up Extrem Surg. 2017 Sep;21(3):116-120. doi: 10.1097/BTH.0000000000000165.
The failed total wrist arthroplasty represents a challenging reconstructive problem for the upper extremity surgeon. Bone loss, poor bone quality, and soft tissue defects all present technical challenges when considering revision procedures. Our purpose is to describe a technique for wrist arthrodesis after failed total wrist arthroplasty utilizing fresh-frozen femoral head allograft and dorsal plate fixation. We describe a simple method of allograft preparation for this procedure, as graft preparation and implantation can be time consuming and technically challenging.
失败的全腕关节置换术对于上肢外科医生来说是一个具有挑战性的重建问题。在考虑翻修手术时，骨丢失、骨质不佳和软组织缺损都会带来技术挑战。我们的目的是描述一种在全腕关节置换术失败后利用新鲜冷冻同种异体股骨头和背侧钢板固定进行腕关节融合的技术。我们描述了一种用于该手术的简单同种异体骨制备方法，因为移植物的制备和植入可能既耗时又具有技术挑战性。
