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首页> 外文期刊>Hand surgery: an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand >Radiolunate fusion with distraction using corticocancellous bone graft for minimizing decrease of wrist motion in rheumatoid wrists.
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Radiolunate fusion with distraction using corticocancellous bone graft for minimizing decrease of wrist motion in rheumatoid wrists.

机译：使用皮质小孔骨移植物进行放射性月桂融合并分散注意力，以最大程度地减少类风湿性腕关节中腕部运动的减少。

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摘要

Radiolunate fusion is a limited carpal fusion procedure used for patients with rheumatoid arthritis. However, this procedure inevitably causes decreases in range of motion, especially wrist flexion. Linscheid and Dobyns described the possibility of minimizing the decrease in motion at the radiocarpal joint by slight distraction of the joint. We hypothesized for our modified procedure that a corticocancellous bone graft was inserted between the radius and the lunate with a small amount of over-correction could provide slight distraction of radioscaphoid joint and protect the joint from decreased range of motion after arthrodesis. Twelve wrists in ten patients with rheumatoid arthritis underwent radiolunate fusion. Mean age at operation was 53 years old and mean follow-up period was 5.7 years. Clinical evaluation and radiological assessment showed that decrease in range of motion was minimized compared with other procedures. Because our modified procedure can minimize decrease in motion, it is recommended.
机译：放射状月牙骨融合术是类风湿关节炎患者的腕骨融合术。然而，该过程不可避免地导致运动范围减小，尤其是腕部弯曲。 Linscheid和Dobyns描述了通过稍微牵开关节使of骨关节运动减少最小化的可能性。我们为修改后的程序假设，在the骨和月牙之间插入皮质小骨移植物，并进行少量的过度矫正，可以使放射性舟骨关节轻微分散，并保护关节免受关节固定术后关节运动范围的减小。十名类风湿关节炎患者的十二个手腕接受了放射线融合术。手术的平均年龄为53岁，平均随访时间为5.7年。临床评估和放射学评估表明，与其他手术相比，活动范围的减少最小。由于我们修改后的程序可以最大程度地减少运动减少，因此建议使用。

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