Minami A, Ogino T, Minami M
J Hand Surg Am. 1987 Mar;12(2):189-96. doi: 10.1016/s0363-5023(87)80269-1.
Twenty-nine wrists of 29 patients were treated with three procedures: distal ulnar resection (Darrach's procedure), distal ulnar recession, or hemiresection-interposition arthroplasty. The indications were pain and limitation of motion associated with primary osteoarthritis of the distal radioulnar joint, derangement after distal forearm bone fracture, Madelung's deformity, and distal radioulnar sprain. The age of the patients averaged 48.3 years. Follow-up averaged 1 year and 9 months. Radiographic evaluations were done preoperatively and postoperatively. Relief of pain was good in the wrists treated by Darrach's procedure; however, diminished grip strength and wrist instability occurred. Relief of pain in the wrists treated by distal ulnar recession and hemiresection-interposition arthroplasty was inferior to that of Darrach's procedure; however, postoperative grip strength increased and wrist instability did not occur.
29例患者的29个腕关节接受了三种手术治疗：尺骨远端切除术（达拉赫手术）、尺骨远端退缩术或半切除-植入关节成形术。手术适应证为与桡尺远侧关节原发性骨关节炎相关的疼痛和活动受限、前臂远端骨折后的紊乱、马德隆畸形以及桡尺远侧扭伤。患者平均年龄为48.3岁。平均随访时间为1年9个月。术前和术后均进行了影像学评估。采用达拉赫手术治疗的腕关节疼痛缓解良好；然而，握力下降和腕关节不稳定出现。采用尺骨远端退缩术和半切除-植入关节成形术治疗的腕关节疼痛缓解情况不如达拉赫手术；然而，术后握力增加且未出现腕关节不稳定。
