Rongières M, Mansat M, Devallet P, Bonnevialle P, Railhac J J
Service de Chirurgie orthopédique et traumatologique, CHU Purpan, Toulouse.
Ann Chir Main. 1987;6(4):269-75. doi: 10.1016/s0753-9053(87)80034-0.
In this experimental study the authors show that partial intercarpal fusions performed on the first carpal row, and not involving the mediocarpal joint, only very slightly limit the mobility of carpal movements: particularly dorsal flexion and radial deviation. Thirty intercarpal fusions were performed with 15 wrists from embalmed cadavers using staples. The range of motions was measured on roentgenograms before and after stapling. The loss of motion was calculated for each type of "partial intercarpal fusion". We present the results with the average loss of motion in percentage and we discuss the indications of these intercarpal fusions, giving for each one the biomechanical explanation of the effects of these intercarpal fusions.
在这项实验研究中，作者表明，在第一腕骨排进行的部分腕骨间融合术，且不涉及腕中关节，只会非常轻微地限制腕骨运动的灵活性：尤其是背屈和桡偏。使用吻合钉对15具防腐尸体的30只手腕进行了腕骨间融合术。在吻合钉固定前后通过X线片测量运动范围。计算每种“部分腕骨间融合”类型的运动丧失情况。我们以平均运动丧失的百分比呈现结果，并讨论这些腕骨间融合术的适应症，针对每一种融合术给出这些腕骨间融合术效果的生物力学解释。
