Abstract
目的 评价腕关节融合钢板内固定术的临床疗效.方法 2000年7月-2004年12月,采用腕关节融合钢板内固定术治疗创伤性腕关节炎21例.随访内容包括腕关节疼痛程度、手指关节活动度、握力和X线片.根据Buck-Gramcko/Lohmannn评分表评价腕关节总体功能,DASH调查表评价腕关节融合术对患者日常活动及生活质量的影响.结果 术后21例获得随访,平均随访时间为20个月.术后患侧腕部疼痛值平均为1.5(术前4.5),12例掌指关节和10例拇指指间关节出现轻微背伸功能障碍,腕部握力为30 kg(健侧为38 kg).X线片示腕关节全部骨性融合.Buck-Gramcko/Lohmannn评分值为8.7,其中优5例、良10例,中6例.DASH值为32,DASH调查表结果表明腕关节融合术后部分日常活动受限.结论 腕关节融合钢板内固定成功率高,腕关节疼痛明显减轻,但术后腕关节部分功能丧失。
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