Dennis D A, Ferlic D C, Clayton M L
J Hand Surg Am. 1986 Jul;11(4):483-90. doi: 10.1016/s0363-5023(86)80181-2.
The results of 30 Volz total wrist arthroplasties in 23 patients with stage III or stage IV rheumatoid arthritis were reviewed 36 to 106 months after the operation (average 69 months). Sixty percent were rated good or excellent, 27% were rated fair, and 13% were rated poor. Good or excellent results were achieved in 77% with single-prong metacarpal components, but in only 47% of the double-prong group. Wrist imbalance was the primary cause of poorer results with the double-prong metacarpal component. Pain relief and patient satisfaction were achieved in 86% of the cases. Typical radiologic patterns of deterioration were resorption of bone under the collar of the radial component (79%, average 3.7 mm) and metacarpal component loosening (24%). Most patients with component loosening had little or no discomfort. Complications occurred in 12 cases but affected the final outcome in only three patients.
对23例III期或IV期类风湿性关节炎患者进行的30例Volz全腕关节置换术的结果，在术后36至106个月（平均69个月）进行了回顾。60%的患者评定为良好或优秀，27%评定为中等，13%评定为差。单叉掌骨组件的患者中77%取得了良好或优秀的结果，但双叉组中只有47%。腕关节失衡是双叉掌骨组件结果较差的主要原因。86%的病例实现了疼痛缓解和患者满意度。典型的影像学恶化表现为桡骨组件颈部下方的骨质吸收（79%，平均3.7毫米）和掌骨组件松动（24%）。大多数组件松动的患者几乎没有不适。发生了12例并发症，但仅3例患者的最终结果受到影响。
