Burnier M, Awada T, Marin Braun F, Rostoucher P, Ninou M, Erhard L
1 Institut Chirurgical de la Main et du Membre Supérieur, Villeurbanne, France.
2 Service de chirurgie de la main des diaconesses, Strasbourg, France.
J Hand Surg Eur Vol. 2017 Feb;42(2):188-193. doi: 10.1177/1753193416671886. Epub 2016 Oct 22.
The primary aim of this study was to assess the clinical and radiological results after hemi-hamate resurfacing arthroplasty in patients with acute or chronic unstable fractures of the base of the middle phalanx and to describe technical features that can facilitate the surgical procedure. Hemi-hamate arthroplasties were done in 19 patients (mean age 39 years) with an isolated fracture at the base of the middle phalanx that involved more than 40% of the articular surface. We assessed ten chronic cases (treated >6 weeks after fracture) and nine acute ones (<6 weeks) at a mean of 24 months. Pain scores, QuickDASH scores, grip strengths, range of motion and radiological findings were recorded at follow-up. At follow-up, the mean active flexion at the proximal interphalangeal joint was to 83° with a mean fixed flexion of 17° (active range of motion 66°). The mean active distal interphalangeal motion was 41°. The mean visual analogue scale score was 1.1. The mean QuickDASH score was 11. The mean pinch strength was 82% of the opposite side. Radiographs revealed one partial graft lysis.
IV.
本研究的主要目的是评估中节指骨基部急性或慢性不稳定骨折患者行半钩骨表面置换关节成形术后的临床和影像学结果，并描述有助于手术操作的技术特点。对19例（平均年龄39岁）中节指骨基部孤立骨折且关节面累及超过40%的患者进行了半钩骨关节成形术。我们评估了10例慢性病例（骨折后>6周治疗）和9例急性病例（<6周），平均随访24个月。随访时记录疼痛评分、QuickDASH评分、握力、活动范围和影像学表现。随访时，近端指间关节平均主动屈曲至83°，平均固定屈曲17°（活动范围66°）。远端指间关节平均主动活动度为41°。视觉模拟量表平均评分为1.1。QuickDASH平均评分为11。捏力平均为对侧的82%。X线片显示1例部分移植物溶解。
IV级。
