PROXIMAL ROW CARPECTOMY WITH OR WITHOUT POSTOPERATIVE IMMOBILISATION

被引：10

作者：

Jacobs, R. ^{[1
]}

Degreef, I. ^{[1
]}

De Smet, L. ^{[1
]}

机构：

[1] Univ Hosp Leuven, Pellenberg, Belgium

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2008年 / 33E卷 / 06期

关键词：

proximal row carpectomy; SLAC; Preiser; Kienbock; wrist; rehabilitation;

D O I：

10.1177/1753193408092490

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Previously published reports have shown good results after proximal row carpectomy in all cases that had a postoperative immobilisation period from 1 to 4 weeks. Immobilisation is thought to be necessary because of the risk of postoperative subluxation of the carpus and for pain relief. There is, however, no evidence of its value. The results in 13 patients who underwent proximal row carpectomy without postoperative immobilisation were compared with those in 25 patients who underwent proximal row carpectomy with postoperative immobilisation for 4 weeks. After a mean follow-up period of 27 months, no significant differences were found for pain, range of motion or return to work between the two groups. We conclude that postoperative immobilisation is not necessary after proximal row carpectomy.

引用

页码：768 / 770

页数：3

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