LONG-TERM FOLLOW-UP OF SCAPHOID-TRAPEZIUM-TRAPEZOID ARTHRODESIS

被引：64

作者：

FORTIN, PT ^{[1
]}

LOUIS, DS ^{[1
]}

机构：

[1] UNIV MICHIGAN HOSP,ORTHOPAED HAND SERV,2912 TC-0328,ANN ARBOR,MI 48109

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 04期

关键词：

D O I：

10.1016/0363-5023(93)90317-V

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A series of 19 consecutive patients who underwent scaphoid-trapezium-trapezoid arthrodesis for chronic scapholunate instability or isolated arthrosis was reviewed. The average follow-up of 14 patients was 62 months. Eight of these 14 patients had significant residual symptoms and/or functional limitations at follow-up, and 11 had complications, including radiocarpal arthrosis (six patients), trapeziometacarpal arthrosis (four patients), and nonunion (three patients). Fusion without reduction of the scaphoid to a normal orientation was predictive of a poor result, but normal scaphoid positioning did not preclude development of arthrosis. Development of a painful degenerative thumb carpal-metacarpal joint may occur as an isolated phenomenon after scaphoid-trapezium-trapezoid arthrodesis.

引用

页码：675 / 681

页数：7

共 29 条

[1]

Sutro, Treatment of non-union of carpal navicular bone, Surgery, 20, pp. 536-540, (1946)

[2]

Peterson, Lipscomb, Intercarpal arthrodesis, Arch Surg, 95, pp. 127-134, (1967)

[3]

Watson, Ballet, The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis, J Hand Surg, 9 A, pp. 358-365, (1984)

[4]

Watson, Ryu, Evolution of arthritis of the wrist, Clin Orthop, 202, pp. 57-67, (1986)

[5]

Kleinman, Management of chronic rotary subluxation of the scaphoid by scapho-trapezio-trapezoid arthrodesis, Hand Clin, 3, pp. 113-133, (1987)

[6]

Watson, Ryu, Akerman, Limited triscaphoid intercarpal arthrodesis for rotatory subluxation of the scaphoid, J Bone Joint Surg, 68 A, pp. 345-349, (1986)

[7]

Hom, Ruby, Attempted scapholunate arthrodesis for chronic scapholunate dissociation, J Hand Surg, 16 A, pp. 334-339, (1991)

[8]

Hastings, Silver, Intercarpal arthrodesis in the management of chronic carpal instability after trauma, J Hand Surg, 9 A, pp. 834-840, (1984)

[9]

Pisano, Peimer, Wheeler, Sherwin, Scaphocapitate intercarpal arthrodesis, J Hand Surg, 16 A, pp. 328-333, (1991)

[10]

Palmer, Dobyns, Linscheid, Management of post-traumatic instability of the wrist secondary to ligament rupture, J Hand Surg, 3, pp. 507-532, (1978)

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