CAJ | 학술논문

目的评价改良Sauve-Kapandji手术治疗下尺桡关节陈旧性损伤的临床疗效.方法改良SauveKapandji手术治疗下尺桡关节陈旧性损伤患者36例,术后随访10～38个月,平均16个月,随访检查包括手术前后腕关节疼痛程度、腕关节活动度、握力.结果 2例失访,19例疼痛消失.平均腕伸屈度从102°增至125°,增加21°;平均前臂旋转度从105°增至135°,增加30°;握力增加50％,与术前比较差异均有统计学意义(P＜0.01).术后均恢复或保留腕关节正常外形.结论改良Sauve-Kapandji能够有效治疗下尺桡关节陈旧性损伤引起的疼痛,前臂旋转功能障碍,是治疗该病的理想手术方式.
목적 평개개량Sauve-Kapandji수술치료하척뇨관절진구성손상적림상료효.방법 개량SauveKapandji수술치료하척뇨관절진구성손상환자36례,술후수방10～38개월,평균16개월,수방검사포괄수술전후완관절동통정도、완관절활동도、악력.결과 2례실방,19례동통소실.평균완신굴도종102°증지125°,증가21°;평균전비선전도종105°증지135°,증가30°;악력증가50％,여술전비교차이균유통계학의의(P＜0.01).술후균회복혹보류완관절정상외형.결론 개량Sauve-Kapandji능구유효치료하척뇨관절진구성손상인기적동통,전비선전공능장애,시치료해병적이상수술방식.
Objective To evaluate the clinical effect of improved Sauve-Kapandji technique on distal radioulnar old injury.Methods Thirty-six cases of distal radioulnar joint dislocation and arthritis were treated by improved Sauve-Kapandji technique.Thirty-four cases were followed up for 10-38 months,with an average of 16 months.Preoperative and postoperative wrist pain degree,wrist range of motion and grippig strength was evaluated.Results Two patients were lost to follow-up.Complete relief of pain was obtained in 19 cases (P ＜0.01),the movement flexion extension improved from 102° to 125°(P ＜0.01),rotation movement of the forearm improved from 105°to 135°(P ＜0.01) and grippig strength improved 50％ (P ＜0.01).Conclusions The pain,wrist range of motion and grippig strength can be treated effectively by improved Sauve-Kapandji technique.