Bolano L E, Green D P
Department of Orthopaedics, University of Texas Health Sciences Center, San Antonio.
J Hand Surg Am. 1993 Sep;18(5):786-91. doi: 10.1016/0363-5023(93)90043-3.
The Arbeitsgemeinschaft für Osteosynthesefragen arthrodesis technique is compared with the proximal row carpectomy technique with radiocapitohamate arthrodesis for patients with traumatic and degenerative arthritis of the wrist. Both techniques gave satisfactory functional and x-ray film results in 85% of the patients. Grip strength measured on the Jamar dynamometer at settings 1-5 was 77-83% of the opposite in the dominant extremities and 56-82% of the opposite in the nondominant extremities. Despite the decrease in grip strengths after wrist fusion, grip strength curve patterns were similar for operated and nonoperated extremities. There were no statistically significant differences in grip strength between the two groups. Patients who did not have index and long ray carpometacarpal joints fused had pain at that level requiring a second procedure to arthrodese the joints. Index and long finger carpometacarpal joint arthrodesis at the time of wrist arthrodesis is recommended in patients with heavy labor jobs.
将用于腕关节创伤性和退行性关节炎患者的 Arbeitsgemeinschaft für Osteosynthesefragen 关节融合技术与近端排腕骨切除术联合桡头钩骨融合技术进行比较。两种技术在85%的患者中均取得了满意的功能和X线片结果。在Jamar测力计1 - 5档测量的握力，在优势肢体中为对侧的77 - 83%，在非优势肢体中为对侧的56 - 82%。尽管腕关节融合后握力有所下降，但手术侧和未手术侧的握力曲线模式相似。两组之间的握力无统计学显著差异。未进行示指和长指腕掌关节融合的患者在该水平出现疼痛，需要进行二次手术来融合关节。对于从事重体力工作的患者，建议在腕关节融合时同时进行示指和长指腕掌关节融合。
