Meuli H C
Department of Orthopedic Surgery, Lindenhof Hospital, University of Berne, Switzerland.
Clin Orthop Relat Res. 1997 Sep(342):77-83.
Experience with an improved total wrist prosthesis developed in 1986 is reported. It could be shown that a solid osseointegration of the prosthesis can be achieved without use of cement. The most important prerequisite is to place the prosthetic components correctly into solid bone stock. Ten revisions were necessary, most directly related to technical errors or improper selection of patients. Thirty-eight prostheses were implanted in 33 patients. The length of followup ranged from 3 to 9.5 years (average, 5.5 years). Patient satisfaction, pain, daily activities, motion, grip strength, and radiographs were evaluated. The overall results were excellent in 20, good in 10, fair in two, and poor in six wrists.
本文报告了1986年研发的一种改良型全腕关节假体的使用经验。结果表明，无需使用骨水泥即可实现假体的牢固骨整合。最重要的前提是将假体组件正确植入坚实的骨组织中。共进行了10次翻修手术，多数与技术失误或患者选择不当直接相关。33例患者共植入了38个假体。随访时间为3至9.5年（平均5.5年）。对患者满意度、疼痛情况、日常活动、活动度、握力及X线片进行了评估。总体结果为，20例腕关节效果极佳，10例良好，2例尚可，6例较差。
