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首页> 外文期刊>Annals of the Academy of Medicine, Singapore >An alternative treatment option for scaphoid nonunion advanced collapse (SNAC) and radioscaphoid osteoarthritis: Early results of a prospective study on the pyrocarbon adaptive proximal scaphoid implant (APSI)
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An alternative treatment option for scaphoid nonunion advanced collapse (SNAC) and radioscaphoid osteoarthritis: Early results of a prospective study on the pyrocarbon adaptive proximal scaphoid implant (APSI)

机译：舟骨骨不连晚期塌陷（SNAC）和放射性舟骨骨关节炎的另一种治疗选择：碳烟适应性近端舟骨植入物（APSI）的前瞻性研究的早期结果

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Introduction: Scaphoid nonunion advanced collapse (SNAC) and radioscaphoid osteoarthritis are diffi cult to treat. Options include proximal row carpectomy (PRC), four corner fusion (4CF) and wrist arthroplasty or arthrodesis. However, with inevitable disease progression, a signifi cant proportion of patients undergo total wrist fusion. This reduces function by abolishing wrist movement. We review the preliminary results of a pyrocarbon interpositional radiocarpal implant in a small cohort of patients from our prospective study and challenge the assumption that there are no surgical alternatives. Materials and Methods: This study prospectively studied 12 consecutive pyrocarbon interpositional arthroplasty day cases over 3 years. Patients were assessed using level of pain, ranges of motion, grip strength, key pinch, type of and time to return to work and the disabilities of the arm, shoulder and hand (DASH) score, both preoperatively and postoperatively. Radiographs were also taken and patient satisfaction recorded. Results: All 12 patients could be contacted and were satisfi ed with their surgery. There were no immediate, early or late postoperative complications associated with the procedure. Promising results were noted in terms of pain, ranges of motion, grip strength, key pinch, type of and time to return to work, DASH scores, photographs and radiographs. The mean follow-up was 18 months, range between 11 months and 3 years. Conclusion: Our early results are encouraging, warrant further and longer studies and support the use of pyrocarbon implants as a primary procedure in what is a generally young and active subgroup of patients.
机译：简介：舟骨骨不连晚期塌陷（SNAC）和放射性舟骨骨关节炎难以治疗。选项包括近端行鲤鱼切除术（PRC），四角融合术（4CF）和腕关节置换术或关节固定术。然而，由于不可避免的疾病发展，相当一部分患者接受了全腕融合术。取消腕部运动会降低功能。我们从我们的前瞻性研究中回顾了小批患者的热碳间质腕radio骨植入物的初步结果，并对没有其他手术方法的假设提出了挑战。材料和方法：这项研究前瞻性研究了连续3年内连续进行12次热碳介入置换日的病例。使用术前和术后的疼痛程度，运动范围，握力，捏捏力，恢复工作的类型和时间以及手臂，肩膀和手（DASH）的残疾程度对患者进行评估。还拍摄了射线照片并记录了患者的满意度。结果：全部12例患者均可以接触并满意手术。没有与手术相关的立即，早期或晚期术后并发症。在疼痛，运动范围，握力，捏捏，恢复工作的类型和时间，DASH评分，照片和X射线照片方面都记录了有希望的结果。平均随访18个月，范围11个月至3年。结论：我们的早期结果令人鼓舞，需要进行进一步和长期的研究，并支持将热释碳植入物作为主要是年轻且活跃的患者亚组的主要程序。

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