A COMPARISON OF SCAPHOID-TRAPEZIUM-TRAPEZOID FUSION AND 4-BONE TENDON WEAVE FOR SCAPHOLUNATE DISSOCIATION

被引：26

作者：

AUGSBURGER, S ^{[1
]}

NECKING, L ^{[1
]}

HORTON, J ^{[1
]}

BACH, AW ^{[1
]}

TENCER, AF ^{[1
]}

机构：

[1] UNIV WASHINGTON,HARBORVIEW MED CTR,DEPT ORTHOPAED,325 9TH AVE,ZA-48,SEATTLE,WA 98104

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 02期

关键词：

D O I：

10.1016/0363-5023(92)90420-T

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：

The contact characteristics of the radiocarpal joint (area, pressure, and ratios of scapholunate area, pressure and force transmitted) were determined with the use of pressure-sensitive film in seven normal wrists after ligament sectioning to create scapholunate instability, with reconstruction involving a scaphoid-trapezium-trapezoid fusion, and with reconstruction involving a four-bone tendon weave procedure. The results demonstrated that the scaphoid-trapezium-trapezoid fusion significantly altered the contact characteristics of the wrist, transferring load, pressure, and area to the radioscaphoid joint, thereby unloading the lunate. In contrast, the tendon weave reconstruction produced characteristics similar to those of the normal joint.

引用

页码：360 / 369

页数：10

共 20 条

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