WRIST ARTHRODESIS IN POSTTRAUMATIC ARTHRITIS - A COMPARISON OF 2 METHODS

被引：36

作者：

BOLANO, LE

GREEN, DP

机构：

[1] Department of Orthopaedics, University of Texas Health Sciences Center, The Hand Center of San Antonio, San Antonio, TX

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 05期

关键词：

D O I：

10.1016/0363-5023(93)90043-3

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 Arbeitsgemeinschaft fur Osteosynthesefragen arthrodesis technique is compared with the proximal row carpectomy technique with radiocapitohamate arthrodesis for patients with traumatic and degenerative arthritis of the wrist. Both techniques gave satisfactory functional and x-ray film results in 85% of the patients. Grip strength measured on the Jamar dynamometer at settings 1-5 was 77-83% of the opposite in the dominant extremities and 56-82% of the opposite in the nondominant extremities. Despite the decrease in grip strengths after wrist fusion, grip strength curve patterns were similar for operated and nonoperated extremities. There were no statistically significant differences in grip strength between the two groups. Patients who did not have index and long ray carpometacarpal joints fused had pain at that level requiring a second procedure to arthrodese the joints. Index and long finger carpometa-carpal joint arthrodesis at the time of wrist arthrodesis is recommended in patients with heavy labor jobs.

引用

页码：786 / 791

页数：6

共 24 条

[1]

Brase, Millender, Failure of silicone rubber wrist arthroplasty in rheumatoid arthritis, J Hand Surg, 11 A, pp. 175-183, (1986)

[2]

Campbell, Keokarn, Total and subtotal arthrodesis of the wrist, J Bone Joint Surg, 46 A, pp. 1520-1533, (1964)

[3]

Clayton, Ferlic, Arthrodesis of the arthritic wrist, Clin Orthop, 89-93, (1984)

[4]

Haddad, Riordan, Arthrodesis of the wrist: a surgical technique, J Bone Joint Surg, 49 A, pp. 950-954, (1967)

[5]

Hoffer, Zeitzew, Wrist fusion in cerebral palsy, J Hand Surg, 13 A, pp. 667-670, (1988)

[6]

Leibot, Surgical fusion of the wrist joint, Surg Gynecol Obstet, 66, pp. 1008-1023, (1938)

[7]

Leighton, Petrie, Arthrodesis of the wrist, Can J Surg, 30, pp. 115-116, (1987)

[8]

Louis, Hankin, Arthrodesis of the wrist: past and present, J Hand Surg, 11 A, pp. 787-789, (1986)

[9]

Mannerfelt, Malmsten, Arthrodesis of the wrist in rheumatoid arthritis, Scan J Plant Reconstr Surg, 5, pp. 124-130, (1971)

[10]

Millender, Nalebuff, Arthrodesis of the rheumatoid wrist: an evaluation of sixty patients and description of a different surgical technique, J Bone Joint Surg, 55 A, pp. 1026-1034, (1973)

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