Novosti
|
This journal is indexed in Scopus |
|---|
Year 2012 Vol. 20 No 1
TRAUMATOLOGY AND ORTHOPEDICS
V.P. DEYKALO, A.N. TOLSTIK
REHABILITATION OF PATIENTS WITH PROGRESSING SCAPOLUNATE COLLAPSE OF THE WRIST
EE “Vitebsk State Medical University”,
the Republic of Belarus
Objectives. To improve the results of rehabilitation of patients with the progressing scapolunate collapse of the wrist.
Methods. Comparison of rehabilitation results in 3 groups of patients with the progressing scapolunate collapse of the wrist (PSLCW) has been carried out. The 1st group included 3 patients in whom the complete arthrodesis of the carpal joint was done. The 2nd group included 5 patients in whom PSLCW was the result of long-term existing false joint of the navicular. In the given group only capitate-lunate arthrodesis was done. The 3rd group included 6 patients operated on because of the same indications. They underwent the intervention aimed to reconstruct changes caused by the progressing scapolunate collapse of the wrist.
Results. The designed and introduced in practice technique of the surgical rehabilitation of patients at late stages of PSLCW including resection of the navicular proximal pole, the fragment of the styloid process of the radius, arthrodesis of the capitate-lunate joint and joints between the navicular distal pole, the bone of trapezium and trapezoid bone permitted to obtain satisfactory functional results of treatment in all patients of the research group.
Conclusions. Rehabilitation of patients with PSLCW based on arthrodesis of the capitate-lunate joint and triscaphoid joint (articulation of the navicular distal pole, the bone of trapezium and trapezoid bone) with the resection of the navicular proximal pole and the fragment of the styloid process of the radius permitted to reduce intensiveness of the pain syndrome with saving of acceptable capacity of movements in the wrist, letting patients return to performing their professional duties.
1.Siegel JM, Ruby LK. A critical look at intercarpal arthrodesis: review of the literature. J Hand Surg (Am). 1996;(21):717–23.
2.Watson HK, Vender MI. Wrist and intercarpal arthrodesis. In: Chapman MV, editor. Operative orthopaedics. 2th ed. 1993;2(Chap. 91):1363–77.
3.Ashmead D, Watson HK, Damon C, Herber S, Paly W. SLAC wrist salvage. J Hand Surg. 1994;19(5):741–50.
4.Cohen MS, Kozin SH. Degenerative arthritis of the wrist: proximal row carpectomy versus scaphoid excision and four-corner arthrodesis. J Hand Surg Am. 2001;26(1):94–104.
5.Viegas SF, Patterson RM, Hokanson JA, Davis J. Wrist anatomy: incidence, distribution, and correlation of anatomic variations, tears, and arthrosis. J Hand Surg Am. 1993;18(3):463–75.
6.Watson HK, Ballet FL. The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis. J Hand Surg Am. 1984;9(3):358–65.
210023, Respublika Belarus', g. Vitebsk, pr. Frunze, d. 27, UO “Vitebskii gosudarstvennyi meditsinskii universitet”, kafedra travmatologii, ortopedii i VPKh,
e-mail: kaftravmvgmu@yandex.ru,
Tolstik Aleksandr Nikolaevich
Deykalo V.P. Doctor of medical sciences, professor, Rector of EE “Vitebsk State Medical University”.
Tolstik A.N. Candidate of medical sciences, Associate Professor of the chair of traumatology, orthopedics and military field surgery of EE “Vitebsk State Medical University”.
Article in the .pdf format
