SCAPHOLUNATE ADVANCED COLLAPSE WRIST SALVAGE

被引：134

作者：

ASHMEAD, D ^{[1
]}

WATSON, HK ^{[1
]}

DAMON, C ^{[1
]}

HERBER, S ^{[1
]}

PALY, W ^{[1
]}

机构：

[1] UNIV CONNECTICUT,NEWINGTON CHILDRENS HOSP,HARTFORD HOSP,CONNECTICUT COMBINED HAND SURG SERV,HARTFORD,CT

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1994年 / 19A卷 / 05期

关键词：

D O I：

10.1016/0363-5023(94)90177-5

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：

Patients with scapholunate advanced collapse (SLAC) wrist do not have to undergo total wrist arthrodesis; the SLAC pattern spares the radiolunate articulation, providing a basis for salvage. We report the results of 100 cases in which a technique comprised of scaphoid excision and limited wrist arthrodesis was used. The average followup period of 44 months revealed excellent functional status and a high rare of patient satisfaction. The majority of employed patients were able to return to their original jobs, and many chose to resume wrist-related recreational activities. Pain relief was good to excellent in most cases. Extension/flexion averaged 72 degrees (53% of a normal opposite wrist), radioulnar deviation 37 degrees (59%), and grip strength 80% of the opposite side. X-ray films revealed only two instances of radiolunate destruction, both in conjunction with ulnar translation of the carpus. The other 98 patients demonstrated a well-preserved radiolunate joint regardless of followup interval. Complications were few. Nonunion occurred in three cases. A dorsal impingement of the capitate and radius (12%) was felt to be technique-related and avoidable by careful capitolunate alignment.

引用

页码：741 / 750

页数：10

共 15 条

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[9] Ashmead, Watson, SLAC wrist reconstruction. Master Techniques in Orthopaedic Surgery, The Wrist, pp. 319-330, (1994)
[10] Watson, Carlson, Treatment of reflex sympathetic dystrophy of the hand with an active “stress loading” program, J Hand Surg, 12 A, pp. 779-785, (1987)

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