Tomaino M M, Delsignore J, Burton R I
Department of Orthopaedic Surgery, University of Pittsburgh, PA.
J Hand Surg Am. 1994 Jul;19(4):694-703. doi: 10.1016/0363-5023(94)90284-4.
The functional outcome, patient satisfaction, and x-ray film status for 23 wrists were examined an average of 6 years following proximal row carpectomy. Surgery was performed for Kienbock's disease, scapholunate dissociation with periscaphoid arthritis, and scaphoid nonunion not suitable for bone grafting. Twenty patients were satisfied with functional performance and pain relief. Wrist flexion-extension arc averaged 74 degrees, or 61%, of the opposite wrist at a later examination. Grip strength, corrected dor dominance, averaged 79% of the opposite side, reflecting an average improvement of 15 kg force. Radiocarpal arthritis developed in three wrists, but only one required arthrodesis for pain relief. The majority of patients experienced satisfactory pain relief, functional wrist motion, and effective grip strength following proximal row carpectomy. The results did not decline at an average of 6 years after surgery.
在近排腕骨切除术后平均6年时，对23例手腕的功能结果、患者满意度及X线片情况进行了检查。手术针对月骨无菌性坏死、舟月分离伴舟骨周围关节炎以及不适合植骨的舟骨不愈合进行。20例患者对功能表现和疼痛缓解情况满意。在随后的检查中，腕关节屈伸弧度平均为对侧腕关节的74度，即61%。握力（校正后优势侧）平均为对侧的79%，反映出平均力量改善了15千克力。3例手腕出现桡腕关节炎，但只有1例需要行关节融合术来缓解疼痛。大多数患者在近排腕骨切除术后疼痛得到满意缓解，腕关节运动功能良好，握力有效。术后平均6年时结果并未下降。
