近端腕骨切除术：一项多中心研究。

Proximal row carpectomy: a multicenter study.

作者信息

Culp R W, McGuigan F X, Turner M A, Lichtman D M, Osterman A L, McCarroll H R

机构信息

Department of Orthopaedic Surgery, Naval Hospital, Oakland, Calif.

出版信息

J Hand Surg Am. 1993 Jan;18(1):19-25. doi: 10.1016/0363-5023(93)90239-y.

DOI:10.1016/0363-5023(93)90239-y

PMID:8423312

Abstract

Twenty patients underwent proximal row carpectomy and were retrospectively evaluated for pain, motion, grip strength, functional activity, and x-ray changes at a mean follow-up of 3 1/2 years. For nonrheumatoid patients, motion decreased 15% after surgery, mean grip strength improved 22%, and 82% believed their conditions were improved and said they would repeat the procedure. The procedure failed in all three patients with rheumatoid arthritis. Patients with mild preoperative arthritic changes had better results than those with advanced disease.

摘要

20例患者接受了近排腕骨切除术，并在平均3.5年的随访中对疼痛、活动度、握力、功能活动及X线变化进行了回顾性评估。对于非类风湿性患者，术后活动度下降了15%，平均握力提高了22%，82%的患者认为病情有所改善，并表示愿意再次接受该手术。所有3例类风湿性关节炎患者的手术均失败。术前关节炎改变较轻的患者比病情严重的患者效果更好。