Adkinson Joshua M, Chung Kevin C
Ann Arbor, Mich. From the Department of Surgery, Section of Plastic Surgery, University of Michigan Health System.
Plast Reconstr Surg. 2014 Dec;134(6):1260-1268. doi: 10.1097/PRS.0000000000000733.
Substantial effort has been directed at the development of small joint prostheses for the hand. Despite advances in prosthetic joint design, outcomes have been relatively unchanged over the past 60 years. Pain relief and range of motion achieved after surgery have yet to mirror the success of large joint arthroplasty. Innovations in biotechnology and stem cell applications for damaged joint surfaces may someday make prostheses obsolete. The purpose of this review is to describe the current status, ongoing advances, and future of small joint arthroplasty of the hand.
人们已经在手部小关节假体的研发上投入了大量精力。尽管假体关节设计取得了进展，但在过去60年里，治疗效果相对没有变化。手术后实现的疼痛缓解和活动范围尚未达到大型关节置换术的成功程度。生物技术和干细胞在受损关节表面应用方面的创新可能有朝一日会使假体过时。本综述的目的是描述手部小关节置换术的现状、当前进展和未来发展。
