■近排腕关节切除术(PRC)是腕关节关节炎治疗的主要手段;然而,传统上,它是在受影响的头状患者中禁忌的。先前已经描述了使用软组织介入移植物来重新覆盖放射性足关节,以允许在这些患者中使用PRC。在目前的研究中,我们回顾了我们使用膝关节半月板同种异体移植修复放射性关节的结果,这些患者原本是PRC的禁忌症患者.
■从2011年至2022年对接受PRC的患者进行了回顾性研究,该患者有或没有半月板间置术。患者人口统计学(年龄,性别,职业,手支配,等)被收集。疼痛的改善是主要结果。手腕运动范围和需要融合的重建失败是次要结果。
■我们确定了83例患者,其中43例符合纳入标准。15例患者(35%)接受PRC与半月板间置关节成形术,28例患者(65%)仅接受PRC。有或没有半月板间置关节成形术的患者术后疼痛改善(93%vs95%,P>0.05),中位随访时间为11(范围,3-38个月)和9个月(范围,3-64个月),分别。与单独PRC相比,接受半月板间置关节成形术的患者术后腕关节活动范围(屈曲:9vs-4,P>.05,伸展:12vs-4,P=.10)趋于增加。
■我们对终末期腕关节关节炎患者进行PRC和半月板间置关节成形术的短期至中期结果与单独PRC的患者相当。
UNASSIGNED: Proximal row carpectomy (PRC) is a mainstay of wrist arthritis treatment; however, it is traditionally contraindicated in patients with an affected capitate. The use of soft tissue interposition grafts to resurface the radiocapitate articulation has been previously described to allow for PRC in these patients. In the current study, we reviewed our outcomes using knee meniscus allograft interposition to resurface the radiocapitate articulation in patients who would have otherwise been contraindicated for PRC.
UNASSIGNED: A retrospective study of patients who underwent PRC with or without meniscus interposition arthroplasty was performed from 2011 to 2022. Patient demographics (age, sex, occupation, hand dominance, etc) were collected. Improvement in pain was the primary outcome. Wrist range of motion and reconstructive failure requiring fusion were the secondary outcomes.
UNASSIGNED: We identified a total of 83 patients and 43 met the inclusion criteria. Fifteen patients (35%) underwent PRC with meniscus interposition arthroplasty, and 28 patients (65%) underwent PRC alone. Patients with and without meniscus interposition arthroplasty had documented improvement in pain postoperatively (93% vs 95%, P > .05) at a median follow-up time of 11 (range, 3-38 months) and 9 months (range, 3-64 months), respectively. Postoperative wrist range of motion (flexion: +9 vs -4, P > .05, extension: +12 vs -4, P = .10) trended toward increase in patients undergoing meniscus interposition arthroplasty compared with PRC alone.
UNASSIGNED: Our short- to mid-term outcomes in patients with end-stage wrist arthritis affecting the capitate who undergo PRC and meniscus interposition arthroplasty are comparable with those receiving PRC alone.