WRIST ARTHRODESIS FOR TREATMENT OF RHEUMATOID-ARTHRITIS

被引：57

作者：

KOBUS, RJ ^{[1
]}

TURNER, RH ^{[1
]}

机构：

[1] OHIO STATE UNIV HOSP,RIVERSIDE METHODIST HOSP,DIV ORTHOPAED SURG,COLUMBUS,OH 43210

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 04期

关键词：

D O I：

10.1016/S0363-5023(09)90012-0

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：

Eighty-seven wrist fusions using the technique of Millender and Nalebuff were reviewed in 79 patients with rheumatoid arthritis. Follow-up averaged 6 years and 97% of all patients had an excellent or good result. Pain was absent or mild in all patients after operation, and 95% of this patient population had improved hand function after wrist fusion. Wrist position averaged neutral in the lateral plane and 6 degrees ulnar deviation. Time to clinical fusion averaged 10.8 weeks. Complications were present in 23% of all cases, with half of these a result of symptomatic hardware. Carpal tunnel syndrome was seen after operation in five patients, all of whom had significant palmar carpal dislocation before surgery. A neutral position of the wrist with slight ulnar deviation is very functional and cosmetically acceptable for the patient with rheumatoid arthritis, even in bilateral fusions. Wrist arthrodesis for the patient with rheumatoid arthritis is a dependable procedure with a high degree of success and patient satisfaction. © 1990, American Society for Surgery of the Hand. All rights reserved.

引用

页码：541 / 546

页数：6

共 37 条

[1]

Carroll RE, Dick HM, Arthrodesis of the wrist for rheumatoid arthritis, J Bone Joint Surg, 53 A, pp. 1365-1369, (1971)

[2]

Clayton M, Surgical treatment at the wrist in rheumatoid arthritis. A review of thirty-seven patients, J Bone Joint Surg, 47 A, pp. 741-750, (1965)

[3]

Clayton ML, Ferlic DC, Arthrodesis of the arthritic wrist, Clin Orthop, 187, pp. 89-93, (1984)

[4]

Clayton ML, Ferlic DC, The wrist in rheumatoid arthritis, Clin Orthop, 106, pp. 192-197, (1975)

[5]

Larsson SE, Compression arthrodesis of the wrist. A consecutive series of 23 cases, Clin Orthop, 99, pp. 146-153, (1974)

[6]

Linscheid RL, Dobyns JH, Rheumatoid arthritis of the wrist, Orthop Clin North Am, 2, pp. 649-665, (1971)

[7]

Mannerflet L, Malnisten M, Arthrodesis of the wrist in rheumatoid arthritis. A technique without external fixation, Scand J Plast Reconstr Surg, 5, pp. 124-130, (1971)

[8]

Mikkelsen OA, Arthrodesis of the wrist joint in rheumatoid arthritis, Hand, 12, pp. 149-153, (1980)

[9]

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

[10]

Millender LH, Nalebuff EA, Reconstructive surgery in the rheumatoid hand, Orthop Clin North Am, 6, pp. 709-732, (1975)

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