Yajima H, Tamai S, Ono H
Department of Orthopedic Surgery, Nara Medical University, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1994 Oct;68(10):847-53.
Eight patients underwent partial radiocarpal arthrodesis for various wrist disorders. There were 5 men and 3 women, whose age at operation ranged from 33 to 59 years with an average of 44 years. The indications for operation included post-traumatic changes secondary to distal radius fracture in 5 cases, Kienböck's disease in 1, Madelung's deformity in 1, and rheumatoid arthritis in 1. Arthrodesis was performed at the radiolunate joint in 5 cases, and at the radioscapholunate joint in 3 cases. In all cases, bone union was obtained within 3 months postoperatively. Postoperative wrist pain disappeared in 6 cases, and decreased in 2 cases. The average postoperative flexion-extension arc of motion was 35 degrees in the radioscapholunate arthrodesis group, and 85 degrees in the radiolunate arthrodesis group. The postoperative grip strength compared with the unaffected hand averaged 51% in the radioscapholunate arthrodesis group, and 68% in the radiolunate arthrodesis group. One patient showed a deterioration in the osteoarthritic change in the midcarpal joint.
8例患者因各种腕部疾病接受了部分桡腕关节融合术。其中男性5例，女性3例，手术年龄在33至59岁之间，平均44岁。手术适应证包括5例桡骨远端骨折继发的创伤后改变、1例月骨无菌性坏死、1例马德隆畸形和1例类风湿关节炎。5例在桡月关节进行融合术，3例在桡舟月关节进行融合术。所有病例术后3个月内均获得骨愈合。6例患者术后腕部疼痛消失，2例疼痛减轻。桡舟月关节融合术组术后屈伸活动平均弧度为35度，桡月关节融合术组为85度。桡舟月关节融合术组术后握力与健侧相比平均为51%，桡月关节融合术组为68%。1例患者腕中关节骨关节炎改变恶化。
