Jump Chris, Trail Ian A, Talwalkar Sumedh
Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, Lancashire, UK.
J Hand Surg Eur Vol. 2025 Jan;50(1):137-144. doi: 10.1177/17531934241296758.
Osteoarthritis of the wrist presents complex surgical challenges. A wide variety of surgical options are available when conservative management fails to provide adequate pain relief. Despite advancements in management, such as modifications of partial wrist arthrodesis techniques and increasing use of total wrist replacements, in most scenarios there is no single preferred option. The surgeon's role is crucial in assessing the patient and creating a bespoke treatment strategy that will provide an optimal outcome. This article presents an approach to management of the degenerate wrist based on current evidence.
手腕骨关节炎带来了复杂的手术挑战。当保守治疗无法充分缓解疼痛时，有多种手术选择可供采用。尽管在治疗方面取得了进展，如改进部分腕关节融合技术以及增加全腕关节置换术的使用，但在大多数情况下，并没有单一的首选方案。外科医生在评估患者并制定能带来最佳效果的定制治疗策略方面起着关键作用。本文基于当前证据提出了一种针对退化性手腕的治疗方法。
