手関節部分固定術の経験

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  • Clinical evaluation of limited wrist arthrodesis.

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Limited wrist arthrodesis was carried out in ten cases including Kienböck's disease, malunited intra-articular fracture of the distal radius and fracture-dislocation of the wrist. Scaphoid-Trapezium-Trapezoid fusion for Kienböck's disease resulted in decreased wrist pain and increased grip strength in three of four cases.<br>Three of four cases of radiolunate fusion were improved but by intercarpal fusion for fracture dislocation of the wrist, clinical symptoms were not improved. In Kienböck's disease, the results of STT fusion and radiolunate fusion were inferior to those of radius osteotomy for Kienböck's disease of the same stage. For fracture-dislocation of the wrist, proximal row carpectomy was considered to be a more favorable method than intercarpal fusion.

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