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Long-term results of simple hemiresection arthroplasty in the rheumatoid distal radio-ulnar joint

Title
Long-term results of simple hemiresection arthroplasty in the rheumatoid distal radio-ulnar joint
Author
이봉근
Keywords
Rheumatoid arthritis; distal radioulnar joint; simple hemiresection arthroplasty.
Issue Date
2013-09
Publisher
SAGE
Citation
Journal of Hand Surgery (European Volume), Vol.38 No.7 [2013], 719-726
Abstract
We retrospectively studied the radiological and clinical results of a simple hemiresection arthroplasty, a modification of previous oblique distal ulnar resections, in 62 patients with rheumatoid arthritis (68 wrists) over a mean follow-up of 103 (range 60?173) months. Fourteen wrists (20%) became fused at the radiocarpal joint and 28 wrists fused (41%) at the midcarpal joints during follow-up. Severe ulnar translocation of the carpus was observed in two wrists (3%), radio-ulnar convergence in five wrists (7%), as well as a significant decrease of carpal height ratio, without any radiological findings of stylocarpal impingement. Improvements in forearm pronation and supination, and reduction in pain were maintained at the last follow-up. Grip strength was not significantly improved. The Jebsen?Taylor hand function test showed improvements in writing, card turning, and simulated feeding. Fifty-two patients (58 wrists, 85%) were satisfied with the results at the last follow-up. Simple hemiresection arthroplasty showed good long-term results with few complications.
URI
http://journals.sagepub.com/doi/abs/10.1177/1753193412472143?journalCode=jhschttp://hdl.handle.net/20.500.11754/44727
ISSN
1753-1934; 2043-6289
DOI
10.1177/1753193412472143
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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