Total Wrist Arthrodesis with the Sauve-Kapandji Procedure in the Rheumatoid Arthritis / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 244-251, 2005.
Artículo
en Coreano
| WPRIM
| ID: wpr-654069
ABSTRACT
PURPOSE:
To evaluate the functional results of total wrist arthrodesis with the Sauve-Kapandji procedure in the rheumatoid arthritis. MATERIALS ANDMETHODS:
The clinical results of twenty wrists of 17 patients who underwent total wrist arthrodesis with the Sauve-Kapandji procedure for the treatment of the rheumatoid arthritis during the period of February 1996 to May 2003 were analyzed. The patients who were observed for more than 12 months postoperatively were chosen as subjects and the mean follow-up period was 42 months (range, 13 to 100 months). At last follow-up, radiological and functional evaluation were done. For the functional evaluation, the standard patient review questions of Weiss et al. and the Buck-Gramcko/Lohmann score were used.RESULTS:
The mean time to clinical fusion of the wrist was 6 weeks. The postoperative range of motion is pronation 68degrees, supination 71degrees. The standard patient review questions of Weiss et al. revealed that 17 cases 85%) were satisfied with the functional results of the procedure. 16 cases (80%) wished that the procedure had been done earlier. The standard patient review questions also showed that maximum improvement in function after the procedure required an average of 6 months (range, 1 to 30 months). On a scale of 1 to 10, the mean score of the subjective overall functional evaluation by the patients was 8.25 points range, 5-10 points). The mean Buck-Gramcko/Lohmann score for the objective functional evaluation was 8.7 points (range, 1-10 points) out of 10 points, corresponding to good result.CONCLUSION:
For the treatment of the advanced rheumatoid arthritis of wrist involving radio-carpal, midcarpal, and distal radio-ulnar joint, total wrist arthrodesis with the Sauve-Kapandji procedure was a reliable treatment method. These procedures offer satisfactory subjective and objective functions with few complications.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Artritis Reumatoide
/
Artrodesis
/
Muñeca
/
Pronación
/
Supinación
/
Estudios de Seguimiento
/
Rango del Movimiento Articular
/
Articulaciones
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Año:
2005
Tipo del documento:
Artículo
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