Long-term results of simple hemiresection arthroplasty in the rheumatoid distal radio-ulnar joint
- Authors
- Lee, C. H.; Chung, U. S.; Lee, B. G.; Shim, J. H.; Lee, K. H.
- Issue Date
- Sep-2013
- Publisher
- SAGE PUBLICATIONS LTD
- Keywords
- Rheumatoid arthritis; distal radioulnar joint; simple hemiresection arthroplasty
- Citation
- JOURNAL OF HAND SURGERY-EUROPEAN VOLUME, v.38, no.7, pp.719 - 726
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
- Volume
- 38
- Number
- 7
- Start Page
- 719
- End Page
- 726
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/162030
- DOI
- 10.1177/1753193412472143
- ISSN
- 1753-1934
- 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.
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