Clendenin M B, Green D P
J Hand Surg Am. 1981 May;6(3):253-7. doi: 10.1016/s0363-5023(81)80080-9.
This report confirms the concept previously established in the literature tha arthrodesis of the wrist is a technically demanding procedure witha significant incidence of postoperative complications. A series of 31 patients is presented in whom wrist arthrodesis was performed using three separate types of operative techniques, with emphasis on postoperative morbidity and complications. Major complications included: pseudarthrosis (six patients), deep wound infection (one patient), neuroma (one patient), fracture of healed fusion (two patients), and impingement of Steinmann pin on metacarpophalangeal joint (one patient). Minor complications occurred in 13 patients, with transient nerve palsy (four patients) and superficial skin necrosis (five patients) accounting for the majority. A technique is described for treating pseudarthrosis following fusion, which has been used successfully in four patients. In each case, an autogenous bone graft was taken from the ipsilateral proximal ulna, thus obviating the need for a second iliac bone graft.
本报告证实了先前文献中确立的概念，即腕关节融合术是一项技术要求较高的手术，术后并发症发生率较高。本文报告了31例患者，他们采用三种不同的手术技术进行了腕关节融合术，重点关注术后发病率和并发症。主要并发症包括：假关节形成（6例）、深部伤口感染（1例）、神经瘤（1例）、已愈合融合处骨折（2例）以及斯氏针撞击掌指关节（1例）。13例患者出现了轻微并发症，其中以短暂性神经麻痹（4例）和浅表皮肤坏死（5例）最为常见。本文描述了一种治疗融合术后假关节形成的技术，该技术已在4例患者中成功应用。在每例病例中，均取自同侧尺骨近端的自体骨移植，从而避免了二次髂骨移植的需要。
