Inglis A E, Jones E C
J Bone Joint Surg Am. 1977 Jun;59(4):460-3.
Twelve patients were studied following proximal-row carpectomy. Four had a follow-up of twenty years or more. The lesions for which the operation was done included Kienböck's disease, perilunar dislocations, and fractures of the carpal scaphoid. The major complaint of pain was relieved following surgery, and a functional range of motion was obtained. Mild degenerative arthritis of the wrist was not a contraindication and progressive degenerative arthritis of the radial capitate articulation did not occur. The operation did not result in weakness and all of the patients resumed their preoperative occupations. After conservative measures fail, proximal-row carpectomy rather than arthrodesis should be considered for disorders of the proximal row of carpal bones.
对12例接受近排腕骨切除术的患者进行了研究。其中4例随访时间达20年或更长。手术治疗的病变包括月骨无菌性坏死、月骨周围脱位和腕舟骨骨折。术后疼痛这一主要症状得到缓解，且获得了功能性活动范围。腕关节轻度退行性关节炎并非手术禁忌证，桡头关节也未出现进行性退行性关节炎。手术未导致肌无力，所有患者均恢复了术前的工作。在保守治疗失败后，对于近排腕骨疾病，应考虑行近排腕骨切除术而非关节融合术。
