Zhang Xu, Wang Tong, Wan Shuang
Hand Surgery Department, Second Hospital of Qinhuangdao, Changli, China; Hand Surgery Department, Chinese Medicine Hospital of Qinhuangdao, Qinhuangdao, Hebei, China.
Hand Surgery Department, Second Hospital of Qinhuangdao, Changli, China; Hand Surgery Department, Chinese Medicine Hospital of Qinhuangdao, Qinhuangdao, Hebei, China.
J Hand Surg Am. 2015 Jan;40(1):152-8. doi: 10.1016/j.jhsa.2014.10.020.
We describe a minimally invasive arthrodesis technique using an arthroscope and fixation with headless screws. From February 2007 to March 2010, we treated 11 thumbs in 11 patients with posttraumatic carpometacarpal joint osteoarthritis. All patients reported pain at the thumb carpometacarpal joint. Preoperatively, mean grip and pinch strength was 38 and 5.9 kg, respectively. At a mean time of 9 weeks, all patients achieved complete union at the fusion site. Mean follow-up was 46 months. At the final follow-up, mean grip and pinch strength was 47 and 7.7 kg, respectively. Based on the Kapandji opposition score (full scored = 10), the mean thumb opposition score was 7. All patients had pain relief. There were 6 excellent, 3 good, and 2 fair results.
我们描述了一种使用关节镜和无头螺钉固定的微创关节融合技术。2007年2月至2010年3月，我们对11例创伤后第一掌腕关节骨关节炎患者的11根拇指进行了治疗。所有患者均报告第一掌腕关节疼痛。术前，平均握力和捏力分别为38千克和5.9千克。平均9周时，所有患者融合部位均实现完全愈合。平均随访46个月。在末次随访时，平均握力和捏力分别为47千克和7.7千克。根据Kapandji对掌评分（满分 = 10分），平均拇指对掌评分为7分。所有患者疼痛均缓解。结果为6例优秀、3例良好、2例尚可。
