Molitor P J, Emery R J, Meggitt B F
Department of Orthopaedics, Addenbrooke's Hospital, Cambridge.
J Hand Surg Br. 1991 Nov;16(4):424-7. doi: 10.1016/0266-7681(91)90018-j.
The results of basal osteotomy of the first metacarpal in the treatment of carpo-metacarpal osteoarthritis have been analysed from two small studies, one retrospective and one prospective. Assessment included clinical examination, standardised radiography and computerised pinch-grip analysis. Surgery reduces the subluxation at the first metacarpal base and provides good pain relief and restoration of function in the majority of cases. It is concluded that this relatively simple technique produces very good results without reducing power grip.
通过两项小型研究（一项回顾性研究和一项前瞻性研究）分析了第一掌骨基底截骨术治疗腕掌关节骨关节炎的结果。评估包括临床检查、标准化X线摄影和计算机化捏握分析。手术可减少第一掌骨基底的半脱位，在大多数病例中能有效缓解疼痛并恢复功能。得出的结论是，这种相对简单的技术能产生非常好的效果，且不会降低强力握力。
