近排腕骨切除术中期疗效  

Mid-term results of proximal row carpectomy

作　　者：徐永清[1] 朱跃良[1] 陆声[1] 李军[1] 丁晶[1] 汤逊[1] 

机构地区：[1]成都军区昆明总医院全军骨科中心,昆明650032

出　　处：《中华手外科杂志》2009年第2期95-97,共3页Chinese Journal of Hand Surgery

摘　　要：目的评估近排腕骨切除术3年以上的手术疗效。方法对1992--2004年在我科进行近排腕骨切除3年以上的19例患者进行随访（随访时间为3—10年，平均6．7年），观察术后腕关节的影像学资料、握力和腕关节活动度。结果19例中有16例术后随访时无疼痛，3例轻度疼痛。术后发生桡腕关节退变者8例。腕关节平均活动度：屈伸（72±17）°，尺桡偏（39±11）°，分别为健侧的63％和45％。腕部握力平均为（20±11）kg，为健侧的77％。结论近排腕骨切除术的中期疗效稳定。Objective To evaluate the clinical resuhs of proximal row earpeetomy after a minimum of 3 year follow up. Methods Nineteen eases treated in our center from 1992 to 2004 with proximal row c^tomy who had at least 3 year follow up were reviewed （follow up period ranging from 3 to 10 years, with an average of 6.7 years）. Images of the wrists were reviewed, and grip strength and range of motion were measured. Rebaits Of the 19 cases, 16 had no pain at postoperative follow up while 3 had mild pain. Degenerative changes of the wrist were noted postoperatively in 8 cases as shown by X-rays. The range of motion of the wrist was （72 ± 17） °flexion-extension and （39 ± 11）° radio-ulnar deviation, which were 63% and 45% of the contralateral wrist respectively. The grip strength after the surgery was （20 ± 11 ） kg on average, which was 77 % of the contralateral side. Conclusion Proximal row carpectomy has a steady clinical result at mid-term follow up.

关 键 词：腕关节 随访研究 近排腕骨切除 

分 类 号：R686[医药卫生—骨科学]