WRIST ARTHRODESIS FOR TREATMENT OF RHEUMATOID-ARTHRITIS

被引：56
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
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页码：541 / 546
页数：6
相关论文
共 37 条
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