Van Nuffel Maarten, Vanhees Matthias, Maeckelbergh Liselore, Degreef Ilse, De Smet Luc
Acta Orthop Belg. 2020 Mar;86(1):146-150.
A retrospective survey on the long-term outcomes of both proximal row carpectomy (PRC) and scaphoidectomy with 4-corner arthrodesis (4CA) was conducted. Seventeen PRC and nine 4CA wrists were retrieved with a minimal follow-up of 9 years. Pain, satisfaction and disability were not significantly different. There was a better flexion and ulnar deviation in the PRC wrists. Conclusion : at long term, the outcome for PRC remains stable despite some series recently reported worsening of the results due to progressive degenerative arthritis. PRC seems to yield comparable clinical results compared to 4CA but a slightly better range of motion than 4CA.
对近排腕骨切除术（PRC）和舟骨切除术联合四角融合术（4CA）的长期疗效进行了回顾性研究。共纳入17例接受PRC手术和9例接受4CA手术的腕关节病例，随访时间最短为9年。疼痛、满意度和功能障碍方面无显著差异。PRC组腕关节的屈曲和尺偏角度更佳。结论：长期来看，尽管最近有一些系列报道称由于进行性退行性关节炎导致结果恶化，但PRC的疗效仍保持稳定。与4CA相比，PRC似乎能产生相当的临床效果，但活动范围略优于4CA。
