کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4052883 | 1265249 | 2007 | 14 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
(iv) The management of the rheumatoid wrist
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
ارتوپدی، پزشکی ورزشی و توانبخشی
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چکیده انگلیسی
The success of surgical management depends on a well-considered strategy in timing the different procedures. Prophylactic surgery may prevent further destruction and deformation. This includes synovectomy of the tendons in order to prevent attrition rupture, to avoid challenging tendon reconstruction. Together with synovectomy of the wrist, including the distal radio-ulnar joint, long-lasting pain relief can be observed. In later stages of the disease, it is the extent of destruction at the radiocarpal level which has great implications in reconstructive surgery. Possible options are partial joint fusion, combined with an ulnar head resection, total wrist fusion or wrist arthroplasty. In cases of severe destruction, however, definitive stabilization by total wrist fusion is indicated. A pain-free, stable wrist joint often outweighs the disadvantage of the lack of mobility.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Current Orthopaedics - Volume 21, Issue 5, October 2007, Pages 344-357
Journal: Current Orthopaedics - Volume 21, Issue 5, October 2007, Pages 344-357
نویسندگان
B.R. Simmen, C. Kolling, D.B. Herren,