Grechenig W, Mähring M, Clement H G
University Clinic for Traumatology, Graz, Austria.
J Bone Joint Surg Br. 1998 May;80(3):504-7. doi: 10.1302/0301-620x.80b3.8506.
Denervation surgery has been a mainstay of our management of chronic pain in the wrist. If there is useful movement at the wrist we prefer denervation to arthrodesis. We have reviewed 22 patients at a mean of 50 months after such denervation surgery at the wrist. This was the only treatment in 16 patients; the other six also had other treatments. Pain was reduced in 16 patients, and 17 were satisfied or improved. None of the patients wished to have a supplementary arthrodesis. We stress the importance of preoperative blockade tests and of a very detailed knowledge of the local anatomy.
去神经手术一直是我们治疗腕部慢性疼痛的主要手段。如果腕部存在有效的活动，我们更倾向于进行去神经手术而非关节融合术。我们回顾了22例接受腕部去神经手术的患者，平均随访时间为50个月。其中16例患者仅接受了这一治疗；另外6例还接受了其他治疗。16例患者的疼痛减轻，17例患者感到满意或病情有所改善。没有患者希望进行补充性关节融合术。我们强调术前阻滞试验以及对局部解剖结构有非常详细了解的重要性。
