全腕关节融合术的流行病学和既往手术的生存率。

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2025-03-22 DOI:10.1016/j.hansur.2025.102135

François-Gabriel Midon , Lionel Athlani , Martin Cholley-Roulleau , Colin Piessat , François Dap

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引用次数: 0

摘要

本研究探讨一线和二线全腕部关节融合术的适应症，重点关注先前腕部手术后的转换延迟，并分析基于潜在病因的并发症。我们回顾了在9年期间接受全腕部关节融合术的121例患者。一线全关节融合术主要用于炎性风湿病或痉挛，而53%的二线全关节融合术用于创伤后疾病。最常见的转换手术包括四角关节融合术（28%）、近行腕骨切除术（22%）和桡舟月关节融合术（20%），平均转换延迟分别为3年、5年和1.8年。四角关节融合术是最常见的复位手术，而桡舟月骨关节融合术的复位时间最短，主要是由于假关节。证据水平：iv。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Total wrist arthrodesis epidemiology and prior surgeries survival

This study investigates the indications for first- and second-line total wrist arthrodesis, focusing on conversion delays following prior wrist surgeries and analyzing complications based on the underlying etiology.

We reviewed 121 patients who underwent total wrist arthrodesis over a nine-year period. First-line total arthrodesis was predominantly performed for inflammatory rheumatic conditions or spasticity, while 53% of second-line total arthrodesis were conducted for post-traumatic conditions. The procedures most frequently converted included four-corner arthrodesis (28%), proximal row carpectomy (22%), and radioscapholunate arthrodesis (20%), with mean conversion delays of 3 years, 5 years, and 1.8 years, respectively.

Four-corner arthrodesis was the most commonly converted procedure, while radioscapholunate arthrodesis showed the shortest conversion time, primarily due to pseudarthrosis.

Level of evidence

IV.

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.