Bowers W H
J Hand Surg Am. 1985 Mar;10(2):169-78. doi: 10.1016/s0363-5023(85)80100-3.
The hemiresection-interposition technique for distal radioulnar joint arthroplasty was developed from anatomic studies that indicated the importance of preserving the functional elements of the ulnocarpal ligament complex. The technique has been previously described. My experience with 38 patients who were followed for an average of 2 1/2 years shows that the procedure is most valuable for patients with rheumatoid arthritis (85% had stable, painless pronation averaging 84 degrees and supination of 77 degrees, while 15% had mild pain and pronation of 70 degrees and supination of 75 degrees). It is also valuable for patients with degenerative or trauma-induced arthritis (100% had painless rotation-pronation averaging 80 degrees and supination of 80 degrees). A modified procedure is useful for patients with ulnocarpal impingement syndrome where the Milch shortening osteotomy may not succeed because of radioulnar incongruity.
远端尺桡关节置换术的半切除-植入技术是基于解剖学研究发展而来的，这些研究表明保留尺腕韧带复合体功能要素的重要性。该技术此前已有描述。我对38例患者进行了平均2.5年的随访，结果显示该手术对类风湿性关节炎患者最有价值（85%的患者旋前稳定、无痛，平均旋前角度为84度，旋后角度为77度，而15%的患者有轻度疼痛，旋前角度为70度，旋后角度为75度）。它对退行性或创伤性关节炎患者也有价值（100%的患者旋转-旋前无痛，平均旋前角度为80度，旋后角度为80度）。对于因尺桡关节不协调导致米尔奇缩短截骨术可能失败的尺腕撞击综合征患者，一种改良手术很有用。
