Kask Kristo, Pivato Giorgio, Pozzi Alessandro, Susini Francesca, Pegoli Loris
*Orthopedic Department of North Estonia Medical Centre Foundation, Tallinn, Estonia †Hand and Reconstructive Microsurgery Unit, San Pio X Clinic, Milan, Italy.
Tech Hand Up Extrem Surg. 2014 Dec;18(4):194-8. doi: 10.1097/BTH.0000000000000066.
The painful thumb carpometacarpal joint without arthritic changes with joint laxity is a common condition mainly affecting the female population in their early decades. Despite this, there is a lack of literature on the available treatment options. In the existing literature ligament reconstruction and extension osteotomy have both been described. In these methods the surgical trauma is quite extensive. In this paper, the authors document and present a new minimally invasive procedure for the treatment of this condition. Patients with painful and lax thumb carpometacarpal joint who did not benefit from conservative treatment underwent surgical treatment. The integrity of the cartilage was checked arthroscopically and it was considered an absolute indication to perform the technique consisting of stabilizing the space between the first and second metacarpal base with a suture button device. A standard postoperative protocol followed. No major complications occurred. According to preliminary experience and short-term follow-up results this technique is a comparatively safer, less invasive, and less aggressive procedure.
无痛性拇指掌指关节无关节炎改变但关节松弛是一种常见病症，主要影响二三十岁的女性人群。尽管如此，关于现有治疗方案的文献却很匮乏。在现有文献中，韧带重建和伸展截骨术均有描述。在这些方法中，手术创伤相当大。在本文中，作者记录并介绍了一种治疗该病症的新型微创手术方法。患有疼痛且松弛的拇指掌指关节且保守治疗无效的患者接受了手术治疗。通过关节镜检查软骨的完整性，并将其视为使用缝合纽扣装置稳定第一和第二掌骨基底之间空间的技术的绝对指征。遵循标准的术后方案。未发生重大并发症。根据初步经验和短期随访结果，该技术是一种相对更安全、侵入性更小且攻击性更小的手术。
