腕关节炎晚期近端行腕骨切除术与关节置换术的疗效。

IF 1.8 Q2 ORTHOPEDICS

HAND Pub Date : 2024-11-23 DOI:10.1177/15589447241298721

Abidemi Adenikinju, Kitty Y Wu, Kristin Karim, Brian Carlsen, Sanjeev Kakar

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引用次数: 0

摘要

背景：本研究旨在评估和比较近端行腕骨切除术（PRC）与腕背囊间置术、外侧半月板同种异体移植或真皮同种异体移植在月骨面/头骨退变患者中的疗效：方法：对2010年至2022年期间在一家医疗机构接受腕关节背囊间植术的患者进行鉴定。记录术前和术后的视觉模拟量表（VAS）疼痛、功能结果和并发症：21例患者（11例背囊、6例半月板、4例真皮基质）的平均随访时间为65.8个月。术后疼痛和功能评分明显改善。术后手臂、肩部和手部快速残疾评分的平均值为 20.3 分。89.5%的患者重返工作岗位，其中包括75%的体力劳动者：背囊皮瓣组与同种异体移植组之间没有明显差异。对患有近端帽状关节炎和/或月骨窝关节炎的患者来说，近端行腕关节切除术联合关节置换术是一种有效的运动保护手术，可改善疼痛和功能。

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Outcomes of Proximal Row Carpectomy With Interposition Arthroplasty for Advanced Wrist Arthritis.

Background: This study aimed to evaluate and compare the outcomes of proximal row carpectomy (PRC) with interposition arthroplasty using dorsal wrist capsule interposition, lateral meniscus allograft, or dermal allograft in patients with lunate facet/capitate degeneration.

Methods: Patients who underwent PRC with interposition arthroplasty between 2010 and 2022 at a single institution were identified. Preoperative and postoperative visual analog scale (VAS) pain, functional outcomes, and complications were recorded.

Results: Twenty-one patients (11 dorsal capsule, 6 meniscus, 4 dermal matrix) were identified with a mean follow-up of 65.8 months. Postoperative pain and functional outcome scores significantly improved. The mean postoperative Quick Disabilities of the Arm, Shoulder, and Hand score was 20.3. In total, 89.5% of patients returned to work, including 75% of manual laborers.

Conclusions: No significant differences were found between dorsal capsular flap versus allograft groups. Proximal row carpectomy with interposition arthroplasty is an effective motion-sparing procedure for patients with proximal capitate and/or lunate fossa arthritis, improving pain and function.

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来源期刊

HAND Medicine-Surgery

CiteScore

3.30

自引率

0.00%

发文量

209

期刊介绍： HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.