Moser K D, Wozasek G E, Haller H
Unfallkrankenhaus Linz.
Handchir Mikrochir Plast Chir. 1988 Jul;20(4):204-7.
An intercarpal arthrodesis was performed in 21 patients with Kienböck's disease, scaphoid non-union, and instability of the wrist. In eight patients we used the method of Graner, in eight cases the procedure was an arthrodesis between scaphoid and lunate and in five cases an arthrodesis between other carpal bones. Eighteen of these patients were reviewed one to 14 years postoperatively. 30% were pain free, 40% had some residual pain, and 20% had moderate to severe pain. The range of motion in the wrist was restricted mainly in extension. In 40% we found arthrotic changes. Two cases resulted in an arthrodesis of the wrist. Based on the poor results found in this review, we feel the indications for intercarpal arthrodesis are very limited.
对21例患有月骨无菌性坏死、舟骨不愈合和腕关节不稳的患者实施了腕骨间关节融合术。8例患者采用了格拉纳方法,8例采用舟骨与月骨间关节融合术,5例采用其他腕骨间关节融合术。其中18例患者在术后1至14年接受了复查。30%患者无痛,40%有一些残余疼痛,20%有中度至重度疼痛。腕关节活动范围主要在伸展时受限。40%的患者出现关节病变。2例导致腕关节融合。基于本次复查中发现的不良结果,我们认为腕骨间关节融合术的适应证非常有限。