White R E
J Hand Surg Am. 1986 Jul;11(4):514-8. doi: 10.1016/s0363-5023(86)80187-3.
Eighteen patients who had rheumatoid wrist surgery with resection of the distal ulna, with or without implant arthroplasty, were reviewed at an average follow-up of 32 months. Subjective and objective clinical findings did not confirm any advantage to the routine use of implant arthroplasty of the distal ulna. Moreover, a bone resorptive process, which was identified in all implant cases, may cause clinical symptoms and prosthetic instability and may warrant reoperation. The histologic findings supported a granulomatous reaction to a foreign body as a cause of the resorptive process. Histologic examination showed a synovial type of membrane and the feasibility was raised of an enzymatic cause.
对18例行尺骨远端切除的类风湿性腕关节手术患者进行了回顾性研究，这些手术包括或不包括植入性关节成形术，平均随访32个月。主观和客观临床结果均未证实常规使用尺骨远端植入性关节成形术有任何优势。此外，在所有植入病例中均发现的骨吸收过程可能会导致临床症状和假体不稳定，可能需要再次手术。组织学结果支持将对异物的肉芽肿反应作为吸收过程的原因。组织学检查显示为滑膜型膜，并提出了酶促原因的可能性。
