Rybka V, Raunio P, Vainio K
J Bone Joint Surg Br. 1979 May;61-B(2):155-8. doi: 10.1302/0301-620X.61B2.438265.
Forty-one arthrodeses of the shoulder in thirty-nine patients suffering from rheumatoid arthritis (thirty women, nine men) have been reviewed. Using internal fixation and external splints the position of the shoulder was maintained in 55 degrees of abduction, 25 degrees of horizontal flexion and enough internal rotation to allow the patient to reach the mouth. The mean period of immobilisation in a thoracobrachial splint was nine weeks, and 90 per cent of the shoulders had solid bony fusion at review. After arthrodesis the total range of scapulothoracic movement improved by about 60 per cent, giving results rated as excellent in fifteen cases (36 per cent), as good in thirteen (32 per cent) and as fair in thirteen (32 per cent). Arthrodesis can be recommended as an easy, cheap and reliable method of treating a shoulder which has been severely destroyed by rheumatoid arthritis.
对39例类风湿性关节炎患者（30名女性，9名男性）的41例肩关节融合术进行了回顾。采用内固定和外固定夹板，将肩关节保持在外展55度、水平屈曲25度以及足够的内旋位置，以使患者能够触及口腔。使用胸臂夹板固定的平均时间为9周，复查时90%的肩关节实现了牢固的骨融合。关节融合术后，肩胛胸壁关节的总活动范围改善了约60%，结果评为优秀的有15例（36%），良好的有13例（32%），尚可的有13例（32%）。关节融合术可作为一种治疗因类风湿性关节炎而严重受损的肩关节的简便、廉价且可靠的方法。
