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近端腕骨切除术治疗腕骨创伤后疾病。

Proximal row carpectomy for posttraumatic disorders of the carpus.

作者信息

Neviaser R J

出版信息

J Hand Surg Am. 1983 May;8(3):301-5. doi: 10.1016/s0363-5023(83)80165-8.

DOI:10.1016/s0363-5023(83)80165-8
PMID:6875233
Abstract

Twenty-four patients (23 men and one woman) from 19 to 65 years old underwent proximal row carpectomy following carpal injuries. The injuries were 10 transscaphoid perilunate dislocations with late subluxation and arthritis, 10 ununited scaphoid fractures with arthritis, three scapholunate dissociations with arthritis, and one acute carpal dislocation. All were followed for from 3 to 10 years. Although the result depended on the original injury, wrist extension was 65% to 70% of normal, flexion was 48% to 65%, ulnar deviation 85 1/2, and radial deviation 17%. Grip strength was equal to that in the opposite hand. There was one failure that was converted to a successful fusion.

摘要

24例年龄在19至65岁之间的患者(23名男性和1名女性)在腕部受伤后接受了近排腕骨切除术。损伤情况包括10例经舟骨月骨周围脱位伴晚期半脱位和关节炎,10例舟骨不愈合伴关节炎,3例舟月关节分离伴关节炎,以及1例急性腕关节脱位。所有患者均随访3至10年。尽管结果取决于原始损伤,但腕关节伸展为正常的65%至70%,屈曲为48%至65%,尺偏为85 1/2,桡偏为17%。握力与对侧手相等。有1例失败病例,后来成功转为融合手术。

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[Proximal row carpectomy: a motion-preserving procedure in the treatment of advanced carpal collapse].
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