Richards R S, Roth J H
Division of Plastic Surgery, University of Western Ontario, London, Canada.
J Hand Surg Am. 1994 Sep;19(5):728-32. doi: 10.1016/0363-5023(94)90175-9.
We assessed the functional results of simultaneous proximal carpal carpectomy and radius to distal carpal row arthrodesis. A retrospective review of patients undergoing wrist arthrodesis for degenerative joint disease was performed. Patients with rheumatoid arthritis or spastic hemiplegia were excluded. Simultaneous proximal row carpectomy and radius to distal carpal row arthrodesis was performed in 38 patients using AO plates and 3.5 mm diameter screws. The mean follow-up time was 16 months, the fusion rate was 100%, and the average grip strength was 24 kg force or 79% of the contralateral hand measured at 10 degrees wrist extension. Patients with three or more screws placed in the metacarpal had significantly more plate-related complications and a higher rate of plate removal than those with two screws distally. Simultaneous proximal row carpectomy and radius to distal carpal row arthrodesis did not decrease the postoperative grip strength.
我们评估了同时进行近端腕骨切除术和桡骨至远侧腕骨排融合术的功能结果。对因退行性关节疾病接受腕关节融合术的患者进行了回顾性研究。排除类风湿性关节炎或痉挛性偏瘫患者。38例患者使用AO钢板和直径3.5mm的螺钉同时进行近端腕骨切除术和桡骨至远侧腕骨排融合术。平均随访时间为16个月，融合率为100%，在腕关节伸展10度时测量的平均握力为24kg力或对侧手的79%。在掌骨中置入三个或更多螺钉的患者比在远侧置入两个螺钉的患者有明显更多的钢板相关并发症和更高的钢板取出率。同时进行近端腕骨切除术和桡骨至远侧腕骨排融合术并未降低术后握力。
