Buck-Gramcko D
J Hand Surg Am. 1977 Jan;2(1):54-61. doi: 10.1016/s0363-5023(77)80010-5.
A collective review was made of the results of denervation of the wrist joint for painful restrictiorn of motion done in 313 patients and follow-up studies on 195 (average 4.1 years, ranging from 9 months to 14 years). Complete denervation was done in only 30, partial denervation in the others being done after testing with local anesthetic blocks. Sixty-nine of the patients retained a moble wrist without pain or with slight pain with heavy work. No evidence of Charcot-like joints was seen. Poorest results followed when the operation was done for sequelae of intra-articular fracture of the radius, fracture dislocations, unstable ligamentous support, joint surface destruction, or for those required to do heavy manual labor. Arthrodesis was done secondarily in nine patients.
对313例因疼痛性活动受限而行腕关节去神经术的患者结果进行了综合回顾，并对其中195例进行了随访研究（平均4.1年，范围从9个月至14年）。仅30例进行了完全去神经术，其他患者在局部麻醉阻滞测试后进行了部分去神经术。69例患者腕关节活动自如，无疼痛或仅在繁重工作时有轻微疼痛。未发现夏科氏关节样表现。当手术用于桡骨关节内骨折后遗症、骨折脱位、不稳定的韧带支持、关节面破坏或用于从事重体力劳动的患者时，效果最差。9例患者二期进行了关节融合术。
