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骨关节炎中使用聚乙烯醇植入物进行第一掌骨表面置换:初步研究。

First metacarpal resurfacing with polyvinyl alcohol implant in osteoarthritis: preliminary study.

作者信息

Taleb C, Berner S, Mantovani Ruggiero G

机构信息

Hand surgery department, Beneficência Portuguesa de Sao Paulo Hospital, Sao Paulo, Brazil; Hand surgery department, University Hospital of Strasbourg, 21075 Illkirch, France.

Hand surgery department, Sinai Hospital of Baltimore, Maryland, USA.

出版信息

Chir Main. 2014 Jun;33(3):189-95. doi: 10.1016/j.main.2014.03.001. Epub 2014 Mar 20.

Abstract

Osteoarthritis of first carpometacarpal (CMC) joint is a condition that is frequently encountered in hand surgery. If conservative treatment fails, several surgical procedures are available ranging from arthroscopic debridement to total joint arthroplasty. This study focuses on a new resurfacing technique for the base of the first metacarpal using a polyvinyl alcohol hydrogel implant. Our preliminary study found good clinical outcomes and no inflammatory reaction after a follow-up of 30 months. However prospective studies with a longer follow-up and more patient are needed to confirm these results.

摘要

第一掌腕(CMC)关节骨关节炎是手部外科常见病症。若保守治疗失败,有多种手术方法可供选择,从关节镜清创到全关节置换术。本研究聚焦于一种使用聚乙烯醇水凝胶植入物对第一掌骨基部进行表面置换的新技术。我们的初步研究发现,随访30个月后临床效果良好且无炎症反应。然而,需要开展随访时间更长、病例更多的前瞻性研究来证实这些结果。

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