3例小指腕掌关节置换术的技术与结果
Little finger carpometacarpal arthroplasty technique and result in 3 cases.
作者信息
Pruzansky Jason S, Goljan Peter, Bachoura Abdo, Jacoby Sidney M, Culp Randall W
机构信息
Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA.
Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA.
出版信息
J Hand Surg Am. 2014 Sep;39(9):1734-8. doi: 10.1016/j.jhsa.2014.06.014. Epub 2014 Jul 29.
PURPOSE
To present our surgical technique and results for the treatment of posttraumatic arthritis of the little finger carpometacarpal (CMC) joint.
METHODS
We performed a retrospective review of 3 patients who underwent our surgical technique. All patients had previously sustained intra-articular fractures of the base of the little finger metacarpal and presented with painful posttraumatic arthritis of the fifth metacarpal-hamate joint. Patients were treated with little finger CMC arthroplasty and extensor carpi ulnaris suspensionplasty.
RESULTS
We observed the 3 patients in the office over a mean of 21 months and by telephone for a mean for 51 months postoperatively. They had improvements in wrist motion and grip strength. Finger motion remained stable. Pain and tenderness at the little finger CMC joint were eliminated.
CONCLUSIONS
Our technique provided satisfactory pain relief and motion preservation for posttraumatic arthritis of the little finger CMC joint.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
目的
介绍我们治疗小指腕掌（CMC）关节创伤后关节炎的手术技术及结果。
方法
我们对3例行该手术技术的患者进行了回顾性研究。所有患者既往均有小指掌骨基底关节内骨折，且均表现为第五掌骨 - 钩骨关节创伤后疼痛性关节炎。患者接受了小指CMC关节成形术和尺侧腕伸肌悬吊成形术治疗。
结果
我们对这3例患者进行了平均21个月的门诊观察，并在术后平均51个月通过电话进行随访。他们的腕关节活动度和握力均有改善。手指活动保持稳定。小指CMC关节处的疼痛和压痛消失。
结论
我们的技术为小指CMC关节创伤后关节炎提供了满意的疼痛缓解和活动度保留效果。
研究类型/证据水平：治疗性IV级。
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