Vahvanen V, Pätiälä H
Arch Orthop Trauma Surg (1978). 1984;102(4):230-7. doi: 10.1007/BF00436135.
Synovectomy of the wrist was done on 77 patients (97 wrists) during 1968-1981. The age of the patients at the time of operation ranged from 18 to 77 years, mean 44.9 yrs. Clinical and radiological follow-up examinations (90 wrists) or follow-up evaluation by questionnaire (7 wrists) were made by the authors in 1982. The mean length of the follow-up period was 8.5 years. Clinical symptoms of pain, swelling, restricted motion, instability and deformity of the wrist joint were evaluated and graded according to a special score. Radiological changes due to rheumatoid arthritis and osteoarthrosis were graded and analysed. Eight wrists were arthrodesed during the follow-up. Among the remaining wrists (89 cases) pain was absent or almost absent in 39%, was less than before the operation in 49% and was unchanged or worse in 12% of cases. The respective percentages for the presence of swelling were 47%, 36%, and 17%. The range of dorsiflexion was between 0 and 70 degrees, with an average of 27.9 degrees. The range of volar flexion was between 0 and 75 degrees, the mean being 28.2 degrees. The average ulnar and radial side motions were 12.9 degrees and 5.4 degrees, respectively. The radiological grading of RA remained about the same in 10 wrists and did not improve in a single wrist. In the other wrists the X-ray changes progressed. The results (patient's opinion) were subjectively good in 53%, fair in 32%, and poor in 15%.(ABSTRACT TRUNCATED AT 250 WORDS)
1968年至1981年间，对77例患者（97个腕关节）实施了腕关节滑膜切除术。手术时患者年龄在18岁至77岁之间，平均44.9岁。1982年，作者对患者进行了临床和放射学随访检查（90个腕关节）或通过问卷调查进行随访评估（7个腕关节）。平均随访期为8.5年。根据一项特殊评分对腕关节疼痛、肿胀、活动受限、不稳定和畸形等临床症状进行评估和分级。对类风湿性关节炎和骨关节炎引起的放射学变化进行分级和分析。随访期间有8个腕关节进行了关节融合术。在其余腕关节（89例）中，39%的患者疼痛消失或几乎消失，49%的患者疼痛较手术前减轻，12%的患者疼痛无变化或加重。肿胀出现的相应百分比分别为47%、36%和17%。背屈范围在0度至70度之间，平均为27.9度。掌屈范围在0度至75度之间，平均为28.2度。尺侧和桡侧平均活动度分别为12.9度和5.4度。10个腕关节的类风湿性关节炎放射学分级基本保持不变，无一例得到改善。在其他腕关节中，X线变化有所进展。结果（患者意见）主观上良好的占53%，一般的占32%，差的占15%。（摘要截选至250字）
