Brumfield R H, Conaty J P, Mays J D
Clin Orthop Relat Res. 1979 Jul-Aug(142):159-63.
One hundred four patients with rheumatoid arthritis of the wrist were evaluated a minimum of 12 months post-operatively (average of 34 months). Seventy patients had 87 arthroplasties and 34 patients had 41 arthrodeses performed on the Arthritis Service of Rancho Los Amigos Hospital (Downey, California), from 1962 to 1975. Seventy-eight per cent of the arthrodeses fused, yet only 69% were painfree. Of the 22% that did not fuse, 67% were pain-free. Carpal and/or intercarpal synovitis recurred in 16% of the fused group and 33% of the nonfused group. Eighty-three per cent of the arthroplasties were pain-free, 91% were stable, and all lost motion which averaged 40 degrees (55%). Spontaneous fusion occurred in 16%). Synovitis recurred in 8.0%.
104例腕部类风湿性关节炎患者在术后至少12个月（平均34个月）接受了评估。1962年至1975年期间，在加州唐尼市兰乔洛斯阿米戈斯医院的关节炎治疗中心，70例患者接受了87次关节成形术，34例患者接受了41次关节融合术。关节融合术的成功率为78%，但仅有69%的患者术后无痛。在未融合的22%的患者中，67%的患者无痛。融合组16%、未融合组33%出现腕骨和/或腕骨间滑膜炎复发。关节成形术83%的患者术后无痛，91%稳定，所有患者均出现活动度丧失，平均丧失40度（55%）。16%出现自发融合。滑膜炎复发率为8.0%。
