目的:描述我们机构在部分和全腕关节置换术(TWA)后并发症的经验。
方法:我们对100例接受桡骨远端假体置换手术的患者的105例腕关节手术进行了回顾性回顾,近端腕骨,或者两者都在一个机构。患者因素包括年龄,性别,身体质量指数,用手,潜在的疾病,记录了以前的伤害。结果特别集中在术后并发症和翻修手术的需要上。
结果:47个TWA,52桡骨远端半关节置换术,回顾了6例腕骨近端半关节置换术,平均随访时间为35±28个月。总并发症和翻修率分别为51%(105个中的53个)和39%(105个中的41个),分别。术后挛缩占需要额外手术的并发症数量最多(20%),其次是组件故障(15%)。深部感染发生在2个TWAs和1个桡骨远端半关节成形术中,需要移除硬件。抗生素垫片放置,以及在明确的手术前长期静脉注射抗生素。在那些需要额外手术的病人中,41%(n=10)接受了至少2次手术,10%(n=4)接受了至少6次额外手术。
结论:虽然TWA和部分腕关节成形术是治疗腕关节疼痛的有吸引力的治疗选择,仍然存在值得注意的潜在并发症,需要额外手术.对这些风险的详细了解对于外科医生至关重要,以便可以为患者提供相应的建议,并可以考虑替代治疗方案。
方法:治疗IV。
OBJECTIVE: To describe our institution\'s experience with complications following partial and total wrist arthroplasty (TWA).
METHODS: We performed a retrospective
review of 105 wrist surgeries in 100 patients who underwent surgery with prosthetic replacement of the distal radius, the proximal carpus, or both at a single institution. Patient factors including age, sex, body mass index, handedness, underlying disease, and previous injury were recorded. Outcomes focused particularly on postoperative complications and need for revision surgery.
RESULTS: Forty-seven TWAs, 52 distal radius hemiarthroplasties, and 6 proximal carpal hemiarthroplasties were reviewed with a mean follow-up duration of 35 ± 28 months. Overall complication and revision rates were 51% (53 of 105) and 39% (41 of 105), respectively. Postoperative contracture accounted for the largest number of complications needing additional surgery (20%), followed by component failure (15%). Deep infections occurred in 2 TWAs and 1 distal radius hemiarthroplasty and required removal of hardware, antibiotic spacer placement, and a prolonged course of intravenous antibiotics prior to a definitive operation. Of those patients requiring additional surgery, 41% (n = 10) underwent at least 2 procedures, and 10% (n = 4) underwent at least 6 additional surgeries.
CONCLUSIONS: Although TWA and partial wrist arthroplasty are attractive treatment options for the painful arthritic wrist, there remains a noteworthy potential for complications requiring additional surgery. A detailed understanding of these risks is essential for surgeons so that patients may be counseled accordingly and that alternative treatment options may be considered.
METHODS: Therapeutic IV.