Bodin Nathan D, Spangler Ryan, Thoder Joseph J
Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital, Outpatient Building, 6th Floor, 3401 North Broad Street, Philadelphia, PA 19140, USA.
Hand Clin. 2010 Aug;26(3):339-50, v-vi. doi: 10.1016/j.hcl.2010.05.006.
Carpometacarpal (CMC) arthritis of the thumb affects half of postmenopausal women and up to 25% of elderly men. This disease can cause significant disability in affected patients often necessitating surgical intervention. Various surgical options have been used to treat refractory CMC arthritis. Any successful surgical intervention must address three goals: removal of diseased joint surfaces, reconstruction of ligamentous stabilizers, and preservation of the joint space. In this article we will discuss various interposition arthroplasty options for CMC arthritis of the thumb.
拇指的腕掌关节(CMC)关节炎影响着半数绝经后女性以及高达25%的老年男性。这种疾病会给受影响的患者带来严重残疾,常常需要进行手术干预。多种手术方式已被用于治疗难治性CMC关节炎。任何成功的手术干预都必须实现三个目标:去除病变的关节面、重建韧带稳定结构以及保留关节间隙。在本文中,我们将讨论针对拇指CMC关节炎的各种间置关节成形术选择。