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半切除-植入关节成形术治疗尺骨远端慢性创伤后背侧半脱位

Treatment of chronic post-traumatic dorsal subluxation of the distal ulna by hemiresection-interposition arthroplasty.

作者信息

Imbriglia J E, Matthews D

机构信息

Department of Orthopaedic Surgery, Medical College of Pennsylvania, Pittsburgh 15212.

出版信息

J Hand Surg Am. 1993 Sep;18(5):899-907. doi: 10.1016/0363-5023(93)90064-A.

DOI:10.1016/0363-5023(93)90064-A
PMID:8228068
Abstract

Twenty-four patients were evaluated for complaints of pain in the area of the distal radioulnar joint, decreased forearm rotation, and weakness of grip. All patients had a history of trauma to the involved wrist an average of 40 months prior to presentation. Six patients had undergone previous surgery that was unsuccessful. Twenty-three patients were available for follow-up evaluation at an average of 36 months following hemiresection-interposition arthroplasty. At that time, results were excellent in 13 patients, good in 4 patients, fair in 3, and poor in 3. Two patients developed symptoms of styloidcarpal abutment (poor results), one of whom was upgraded to an excellent result after undergoing a shortening osteotomy of the ulna.

摘要

对24例因桡尺远侧关节区域疼痛、前臂旋转受限及握力减弱而就诊的患者进行了评估。所有患者在就诊前平均40个月有患侧腕部外伤史。6例患者曾接受过手术,但未成功。23例患者在半切除-植入关节成形术后平均36个月接受了随访评估。当时,13例患者结果为优,4例为良,3例为可,3例为差。2例患者出现茎突腕关节撞击症状(结果差),其中1例在接受尺骨缩短截骨术后结果升为优。

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