拇指指间关节镜下关节融合术
Arthroscopic Interphalangeal Arthrodesis of the Thumb.
作者信息
Lui Tun Hing
机构信息
Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China.
出版信息
Arthrosc Tech. 2016 Nov 14;5(6):e1291-e1296. doi: 10.1016/j.eats.2016.07.021. eCollection 2016 Dec.
Arthrodesis of the interphalangeal joint of the thumb is an effective treatment for pain, deformity, or instability at the joint. Arthroscopic interphalangeal arthrodesis of the thumb is a minimally invasive surgery and has better cosmetic results and less surgical trauma as compared with the open approaches. The purpose of this technical note is to report the details of the arthroscopic interphalangeal arthrodesis with oblique placement of the headless screw. No traction device is used for this technique. It is indicated in recalcitrant painful arthritis of the interphalangeal joint of the thumb. It is contraindicated in case of significant deformity of the joint as a result of subchondral bone collapse. It is also contraindicated if there is impinging volar osteophyte, local infection, or lack of expertise.
拇指指间关节融合术是治疗该关节疼痛、畸形或不稳定的有效方法。拇指关节镜下指间关节融合术是一种微创手术，与开放手术相比，具有更好的美容效果和更少的手术创伤。本技术说明的目的是报告无头螺钉斜向置入的关节镜下指间关节融合术的详细情况。该技术不使用牵引装置。它适用于拇指指间关节顽固性疼痛性关节炎。如果关节因软骨下骨塌陷而出现明显畸形，则为禁忌证。如果存在掌侧骨赘撞击、局部感染或缺乏专业技能，也为禁忌证。
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