LCP干骺端锁定钢板与AO腕部融合钢板在类风湿关节炎中的应用。

IF 2.3 Q2 RHEUMATOLOGY International Journal of Rheumatology Pub Date : 2018-07-10 eCollection Date: 2018-01-01 DOI:10.1155/2018/4719634
Toshitake Taii, Takumi Matsumoto, Sakae Tanaka, Ichiro Nakamura, Katsumi Ito, Takuo Juji
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引用次数: 3

摘要

目的:虽然使用钢板进行腕部关节融合术是一种成熟的治疗方法,对于严重破坏的手腕有充分的文献证明其成功愈合率,但钢板相关的并发症是一个非常值得关注的问题。方法:我们回顾性比较了9例使用AO手腕融合钢板和7例使用锁定加压钢板(LCP)干骺端钢板的腕关节融合术。结果:AO腕部融合钢板组平均随访40.6个月,LCP干骺端钢板组平均随访57.2个月。两组所有病例均实现了关节融合术部位的骨愈合。术后立即x线片上融合的原始位置与最近随访x线片上的位置比较显示两组均具有良好的稳定性。AO腕部融合钢板组出现4例钢板相关并发症,LCP干骺端钢板组无一例。并发症包括钢板疼痛、伤口裂开和感染、伸肌腱粘连和骨折各1例。结论:使用LCP干骺端钢板进行腕关节融合术有利于类风湿关节炎患者,其稳定性与AO腕关节融合板相当,且钢板相关并发症的风险低于AO腕关节融合板。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Wrist Arthrodesis in Rheumatoid Arthritis Using an LCP Metaphyseal Locking Plate versus an AO Wrist Fusion Plate.

Objectives: Although wrist arthrodesis using a plate is an established treatment with a well-documented successful union rate for severely destroyed wrists, plate-related complications are a matter of great concern.

Methods: We retrospectively compared wrist arthrodesis using an AO wrist fusion plate in nine and a locking compression plate (LCP) metaphyseal plate in seven cases of rheumatoid arthritis.

Results: The mean follow-up was 40.6 months in the AO wrist fusion plate group and 57.2 months in the LCP metaphyseal plate group. Bone union at the arthrodesis site was achieved in all cases in both groups. Comparison of the original position of the fusion on the immediate postoperative radiographs and the position on the most recent follow-up radiographs demonstrated good stability in both groups. Plate-related complications occurred in four cases in the AO wrist fusion plate group and no cases in the LCP metaphyseal plate group. Complications included pain over the plate, wound dehiscence and infection, extensor tendon adhesion, and fracture in one case each.

Conclusion: Wrist arthrodesis using an LCP metaphyseal plate was favorable for rheumatoid arthritis patients with comparable stability to that of and a lower risk of plate-related complications than an AO wrist fusion plate.

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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
9
审稿时长
24 weeks
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