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首页> 美国卫生研究院文献>Journal of Wrist Surgery >Can Total Wrist Arthroplasty Be an Option in the Treatment of the Severely Destroyed Posttraumatic Wrist?
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Can Total Wrist Arthroplasty Be an Option in the Treatment of the Severely Destroyed Posttraumatic Wrist?

机译：在严重毁坏的创伤后手腕治疗中可以选择全腕关节置换术吗？

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>Background Severely destroyed posttraumatic wrists are usually treated by partial or total wrist fusion or proximal row carpectomy. The indications for and longevity of total wrist arthroplasty (TWA) are still unclear. >Case Description The aim of this study was to analyze a series in which one last-generation total wrist arthroplasty was used as a salvage procedure for wrists with severe arthritis due to traumatic causes. The data were prospectively recorded in a web-based registry. Seven centers participated. Thirty-five cases had a minimum follow-up time of 2 years. Average follow-up was 39 (24–96) months. Pain had improved significantly at follow-up, mobility remained unchanged. The total revision rate was 3.7%, and the implant survival was 92% at 4–8 years. >Literature Review Very few studies have described specific results after TWA in posttraumatic cases and almost none using classical “third-generation” implants. The number of cases and the follow-up in the published series are small. >Clinical Relevance Although painful posttraumatic wrists with severe joint destruction can be salvaged by partial or total fusion, we found that, evaluated at short- to midterm, total wrist arthroplasty can be an alternative procedure and gives results that are comparable to those obtained in rheumatoid cases.Level IV Case series
机译：>背景通常通过部分或全部手腕融合术或近端行鲤鱼切除术来治疗严重受损的创伤后手腕。全腕关节置换术（TWA）的适应症和寿命尚不清楚。 >病例描述本研究的目的是分析一系列采用最后一代全腕置换术作为因创伤原因导致的严重关节炎手腕的抢救方法的系列研究。数据被预先记录在基于Web的注册表中。七个中心参加了会议。 35例患者的最低随访时间为2年。平均随访时间为39（24-96）个月。随访时疼痛明显改善，活动能力保持不变。总翻修率为3.7％，植入物在4-8年的生存率为92％。 >文献综述很少有研究描述创伤后病例中TWA后的具体结果，而几乎没有使用经典的“第三代”植入物的研究。公开发表的系列文章中的案件数量和后续活动很少。 >临床意义尽管可以通过部分或全部融合来挽救创伤严重的关节外伤后疼痛的手腕，但我们发现，在中期至中期进行评估，全腕关节置换术可以作为一种替代方法，其结果是与类风湿病例获得的水平相当。IV级病例系列

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