TRISPHERICAL TOTAL WRIST ARTHROPLASTY IN RHEUMATOID-ARTHRITIS

被引：48

作者：

FIGGIE, MP

RANAWAT, CS

INGLIS, AE

SOBEL, M

机构：

[1] Hospital for Special Surgery, New York, NY

[2] University Hospitals of Cleveland, Case Western Reserve School of Medicine, Department of Orthopaedics, Cleveland, OH

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 02期

关键词：

D O I：

10.1016/0363-5023(90)90098-C

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：

Thirty-four patients, with 35 trispherical total wrist arthroplasties for treatment of rheumatoid arthritis, were evaluated at an average follow-up of 9 years (range, 5 to 11 years). The average preoperative score was 25 points inasmuch as all patients had severe pain and loss of function. The average postoperative score improved to 87 points since 30 wrists were free of pain. Twenty-eight wrists rated as a good-to-excellent result. The average arc of flexion and extension improved from 35 to 50 degrees. There were no deep infections or dislocations. Two wrists required revision, one for loosening and one for persistent pain, both requiring removal of the implant and arthrodesis. Postoperative tendon attrition occurred in six wrists, all of which had preoperative tendon ruptures necessitating tendon transfer. Radiographs showed radiolucencies in seven wrists, including seven around the metacarpal stem and one around the radial stem. The optimum results were achieved in those patients with intact extensor tendons before operation. © 1990.

引用

页码：217 / 223

页数：7

共 26 条

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