Rossello M I, Costa M, Pizzorno V
II A.S.L. del Savonese Ospedale S. Paolo, Centro regionale di Chirurgia della mano, Savona, Italy.
Clin Orthop Relat Res. 1997 Sep(342):64-70.
The experience with radiocarpal joint reconstruction in rheumatoid arthritis using silastic implants and titanium grommets is reported. Forty-one implants were placed in 36 patients from 1986 to 1992, with a followup of 32 implants in 29 patients ranging from 2.5 years to 8 years. After a brief review of the crucial points of the procedure, including indications and surgical technique, the results were examined using a protocol derived from the one proposed in 1988 for an international multicenter study. The procedure, when correct indications are selected and correct surgical steps are performed, allows predictable results with a satisfying recovery of wrist function. Preservation of wrist function through the years seems enhanced by titanium grommets.
报告了使用硅橡胶植入物和钛索环进行类风湿性关节炎桡腕关节重建的经验。1986年至1992年期间，对36例患者植入了41个植入物，对其中29例患者的32个植入物进行了随访，随访时间为2.5年至8年。在简要回顾了该手术的关键点（包括适应症和手术技术）之后，使用1988年为一项国际多中心研究所提出的方案对结果进行了检查。当选择正确的适应症并执行正确的手术步骤时，该手术可产生可预测的结果，腕关节功能恢复令人满意。多年来，钛索环似乎有助于保留腕关节功能。
