高龄患者桡骨远端畸形愈合的保关节腕关节置换术：病例报告
Total Wrist Arthroplasty as a Motion-Sparing Option for Distal Radius Malunion in a Patient of Advanced Age: A Case Report.
机构信息
Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.
出版信息
JBJS Case Connect. 2023 Aug 17;13(3). doi: 10.2106/JBJS.CC.23.00167. eCollection 2023 Jul 1.
CASE
A 62-year-old woman presented with wrist pain secondary to a distal radius fracture malunion 4 months after a fall onto an outstretched hand. She was not an ideal candidate for osteotomy and bone graft because of the degree of displacement and osteoporosis, so after nonoperative treatment was unsuccessful, she was offered total wrist arthroplasty (TWA) or arthrodesis and opted for TWA.
CONCLUSION
At 14-month follow-up, the patient reported significant improvement in her pain and function. The current generation of TWA implants may allow use in the management of symptomatic distal radius malunions in older, low-demand patients.
病例
一位 62 岁女性，因跌倒时手掌撑地导致远端桡骨骨折畸形愈合，在术后 4 个月出现腕关节疼痛。由于骨折移位和骨质疏松严重，该患者不适合进行截骨和植骨，在非手术治疗失败后，她选择了全腕关节置换术（TWA）或关节融合术，最终选择了 TWA。
结论
在 14 个月的随访中，患者报告疼痛和功能有明显改善。目前这一代 TWA 植入物可能适用于治疗高龄、低需求患者的有症状的桡骨远端畸形愈合。
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