摘要
目的评价近排腕骨切除加骨间掌、背侧神经切断术治疗退行性腕关节炎的疗效.方法1996年3月-2002年12月,对30例退行性腕关节炎行近排腕骨切除和腕部骨间掌、背侧神经切断术.术后测量腕关节的活动度、握力和疼痛程度,腕关节功能评定采用Krimmer评分法.术后拍摄腕关节X线正侧位片,了解腕关节骨性改变情况.结果术后随访8～66个月.腕关节屈伸活动度平均为70°(健侧为126°),尺桡偏平均为36°(健侧为66°);握力为25kg(健侧为46kg);疼痛值为32(术前为73);腕关节功能评分为70.腕关节X线片示,术后3例腕关节形成关节炎.结论近排腕骨切除加骨间掌侧及背侧神经切断可保留腕关节部分功能,减轻腕关节疼痛,是治疗退行性腕关节炎的有效手段.
Objective The purpose of this study was to evaluate the treatment outcome of proximal row carpectomy and wrist denervation for degenerative osteoarthritis of the wrist.Methods From March 1996 to December 2002,30 patients with wrist osteoarthritis were treated with proximal row carpectomy and resection of distal posterior interosseous nerve and anterior interosseous nerve.The mean follow-up time was 35 months,ranging from 8 to 66 months.Evaluation included pain,range of motion of the wrist and grip strength.X-ray was taken in all patients.Krimmer wrist score was adopted to assess funetion of the wrist.Results Wrist range of motion averaged 70° extension/flexion（126° of the opposite wrist）,36° radial/ulnar deviation（66° of the opposite wrist）.The average grip strength was 25kg and 46kg of the other hand.Mean pain score was 32（postoperative）versus 73（preoperative）.Arthrosis appeared in 3 cases,The value of Krimmer wrist score was 70,Conclusion Proximal row carpectomy plus wrist denervation is an effective method of treatment of wrist degenerative osteoarthritis.It alleviates wrist pain while preserving part of wrist motion.
出处
《中华手外科杂志》
CSCD
北大核心
2005年第4期227-229,共3页
Chinese Journal of Hand Surgery
