Orthopedic Department, Hospital del Trabajador, 185 Ramon Carnicer 185, Santiago, Providencia, Chile; Orthopedic Department, Clinica Alemana-Universidad del Desarrollo, Santiago, Chile.
Orthopedic Department, Hospital del Trabajador, 185 Ramon Carnicer 185, Santiago, Providencia, Chile; Orthopedic Department, Clinica Las Condes, Santiago, Chile.
Hand Clin. 2020 Nov;36(4):523-530. doi: 10.1016/j.hcl.2020.07.008.
An unstable and osteoarthritic distal radioulnar joint presents with considerable functional impairment, pain, and weakness in gripping manipulation of objects. A wide variety of surgical alternatives have been described to address these concerns. Resection arthroplasties include different types of distal ulna resection and soft tissue procedures; good overall results have been described for these types of procedures, although they have shown limitations in achieving and maintaining pain relief and stability, especially in more active patients. Since the late 1980s, partial and total joint arthroplasties have emerged as good alternatives for treatment in young and more active patients.
不稳定和骨关节炎的桡尺远侧关节会导致相当大的功能障碍、疼痛和在抓握物体时的无力感。为了解决这些问题，已经描述了各种各样的手术选择。切除成形术包括不同类型的尺骨远端切除和软组织手术；这些类型的手术已经取得了良好的总体效果，尽管它们在实现和维持疼痛缓解和稳定性方面存在局限性，特别是在更活跃的患者中。自 20 世纪 80 年代末以来，部分和全关节置换术已成为年轻且更活跃患者治疗的良好选择。
