Pilato G, Gamberoni D, Surace M F E, Baldo E, Cherubino P
Dipartimento di Scienze Ortopediche e Traumatologie "M. Boni", Università dell'Insubria, Varese.
Chir Organi Mov. 2005 Jul-Sep;90(3):241-52.
An original modification in the Burton-Pellegrini technique was used to treat 20 cases of trapeziometacarpal arthritis between 1992 and 2001. A retrospective evaluation concerned 13 cases and was based on functional and radiographic criteria measuring the height of the column of the thumb at rest and under stress. Mean follow-up was 54.2 months (range 24-144). The height of the column of the thumb was decreased in relation to that of healthy hands and shortening under stress was significantly correlated with an increase in pain under stress (R2 = 44.7; p = 0.012). The observation of hyperextension of the MP (> 20 degrees) at follow-up was correlated with worse functional results. The method proposed has proven to be reliable, safe, capable of guaranteeing greater force as compared to other surgical methods described in the literature. The study emphasizes the need for a careful preoperative evaluation and possible treatment of MP joint hyperextension.
1992年至2001年间，采用改良的伯顿-佩莱格里尼（Burton-Pellegrini）技术治疗了20例大多角骨-第一掌腕关节关节炎患者。对其中13例进行了回顾性评估，评估基于功能和影像学标准，测量拇指静止及受力时的掌骨高度。平均随访时间为54.2个月（范围24 - 144个月）。与健康手相比，拇指掌骨高度降低，且受力时缩短与受力时疼痛增加显著相关（R2 = 44.7；p = 0.012）。随访时观察到掌指关节过伸（> 20度）与较差的功能结果相关。结果表明，与文献中描述的其他手术方法相比，所提出的方法可靠、安全，能够提供更大的力量。该研究强调术前需仔细评估，并对掌指关节过伸进行可能的治疗。
