全腕关节置换术失败的翻修手术

Chirurgie De La Main Pub Date : 2015-12-01 DOI:10.1016/j.main.2015.10.066

Michel E.H. Boeckstyns , Guillaume Herzberg

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引用次数: 2

摘要

第三代全腕关节置换术(TWA)植入物已经问世超过17年。因此，越来越多的法律需要修订。本研究的目的是报告我们在TWA失败后进行翻修手术的经验。方法前瞻性、连续性收集2015年5 - 6月2个门诊修改的所有TWA资料，并进行一般性随访检查。结果:我们共修改了19例，其中8例为类风湿关节炎，11例为其他诊断。12例被修改为移动TWA, 1例被修改为Amandys间置种植体，6例被融合。最终随访时，平均术后31个月，QuickDASH评分改善中位数为25分，疼痛VAS评分改善中位数为50分。三次修订TWA, 1次松散，计划重新修订。融合患者和TWA患者的QuickDASH评分和VAS评分无差异。结论椎间动脉手术失败后，椎间动脉融合术和新椎间动脉翻修术都是可行的。修订新的环球贸易协定可能需要补充主要程序。

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Revision surgery for failed total wrist arthroplasty

Introduction

Third generation implants for total wrist arthroplasty (TWA) has now been available for more than 17 years. Consequently, an increasing number need revision.

Aims of the study

To report on our experience with revision surgery after failed TWA.

Methods

We prospectively and consecutively collected data on all TWA's that were revised in two clinics and made a general follow-up examination in May–June 2015.

Findings

We revised a total of 19 cases - 8 with rheumatoid arthritis, 11 with other diagnoses. Twelve were revised to a remotion TWA, 1 to an Amandys interposition implant and 6 were fused. At final follow-up, at an average of 31 months after operation, median improvement in QuickDASH score was 25 points, median improvement in VAS score for pain was 50 points. Three revisions TWA had been re-revised and 1 was loose and scheduled for re-revision.

There was no difference in QuickDASH- or in VAS score between patients with fusion and patients with TWA.