Kuhns Craig A, Meals Roy A
Combined Orthopedic Plastic Hand Surgery Service, University of California, Los Angeles, School of Medicine, Los Angeles, California 90024, USA.
Tech Hand Up Extrem Surg. 2004 Mar;8(1):2-6. doi: 10.1097/00130911-200403000-00002.
Many surgeons have abandoned the simple trapeziectomy for the treatment of thumb basal joint arthritis secondary to reports of postoperative weakness. More recently, ligament reconstruction techniques have been the favored surgical procedure for the treatment of trapezial arthritis, but the necessity of such an extensive procedure that requires tendon harvest and rerouting has come into question. Simple trapeziectomy modified with distraction pinning, without interposition grafting, allows for a stable, pain-free thumb that has superior strength and motion when compared with the more complicated ligament reconstruction techniques.
由于术后无力的报道，许多外科医生已放弃单纯的大多角骨切除术来治疗拇指腕掌关节关节炎。最近，韧带重建技术已成为治疗大多角骨关节炎的首选手术方法，但这种需要肌腱采集和重新布线的广泛手术的必要性受到了质疑。采用牵张穿针改良的单纯大多角骨切除术，不进行间置移植，与更复杂的韧带重建技术相比，能使拇指稳定、无痛，且具有更强的力量和更好的活动度。
