Watson H K, Goodman M L, Johnson T R
J Hand Surg Am. 1981 May;6(3):223-33. doi: 10.1016/s0363-5023(81)80074-3.
Fusion of selected bones of the carpus, occasionally combined with the radius or metacarpal bases, has been used to treat a wide variety of serious pathologic conditions of the wrist. Indications include severe localized degenerative arthritis and posttraumatic changes secondary to subluxation, dislocation, or residual instability resulting in significant pain. The procedure was performed on 28 wrists in 26 patients. There were three failures to obtain union initially, two of which united after secondary grafting procedures. All patients had less pain and most had functional, though limited, ranges of wrist motion. Limited wrist arthrodesis provides a workable alternative to complete wrist fusion and Silastic wrist arthroplasty for many wrists with localized destruction.
腕骨某些选定骨骼的融合，偶尔会与桡骨或掌骨基部联合，已被用于治疗多种严重的腕部病理状况。适应证包括严重的局限性退行性关节炎以及继发于半脱位、脱位或残留不稳定导致明显疼痛的创伤后改变。该手术在26例患者的28个腕关节上实施。最初有3例未获得骨愈合，其中2例在二次植骨手术后实现愈合。所有患者疼痛减轻，多数患者腕关节活动范围虽有限但仍具备功能。对于许多存在局限性破坏的腕关节，有限腕关节融合术为完全腕关节融合术和硅橡胶腕关节置换术提供了一种可行的替代方案。
