LIMITED ARTHRODESIS FOR THE RHEUMATOID WRIST

被引:27
作者
ISHIKAWA, H
HANYU, T
SAITO, H
TAKAHASHI, H
机构
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 06期
关键词
D O I
10.1016/S0363-5023(09)91075-9
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
Limited arthrodesis of the proximal carpal row to the radius, synovectomy of the extensor tendons and the wrist joint, and a Darrach procedure were carried out in 25 unstable and painful rheumatoid wrists that had ulnar shift and/or palmar subluxation of the carpus. The average follow-up period after the operation was 3 years. Satisfactory results were obtained with relief of pain, improved forearm rotation, and increased grip strength. The average degree of extension and flexion was reduced, respectively, 70% and 54% at follow-up compared with the preoperative range. Postoperative x-ray films showed deterioration in the lunocapitate joint in 12 wrists; however, the wrists remained stable and painless.
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页码:1103 / 1109
页数:7
相关论文
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