115例使用鲁比斯II型反拇指腕掌关节假体的结果，平均随访10年。
Results of 115 Rubis II reverse thumb carpometacarpal joint prostheses with a mean follow-up of 10 years.
作者信息
Dehl M, Chelli M, Lippmann S, Benaissa S, Rotari V, Moughabghab M
机构信息
SOS Mains, Saint Quentin Hospital, Amiens, France.
出版信息
J Hand Surg Eur Vol. 2017 Jul;42(6):592-598. doi: 10.1177/1753193416687508. Epub 2017 Feb 7.
UNLABELLED
The aim of this study was to assess the clinical and radiological results of the Rubis II thumb carpometacarpal joint reverse prosthesis, at a mean follow-up of 10 years. Between 1997 and 2008, 253 prostheses were implanted in 199 patients; 115 were reviewed. The survival after a mean of 10 years was 89%. At the last follow-up, 70% of prostheses were painless; the others reported moderate or intermittent pain. The satisfaction rate was 98%. The mean opposition was 9 on the Kapandji scale; the mean QuickDASH score was 30. Wrist, key and tip pinch strengths were comparable with the non-operated side. Of the 115 implants, one was radiologically loose (1%) and 15 had suffered dislocations (13%), 12 of which were caused by an injury. Eleven thumbs had revision surgery. This study confirms that the good clinical results of the Rubis II prosthesis are maintained in the medium and long term, and represents a useful alternative to trapeziectomy for selected patients.
LEVEL OF EVIDENCE
IV.
未标注
本研究的目的是评估鲁比斯II型拇指腕掌关节翻修假体在平均10年随访期的临床和影像学结果。1997年至2008年期间，199例患者植入了253个假体；对其中115例进行了复查。平均10年后的假体生存率为89%。在最后一次随访时，70%的假体无痛；其他患者报告有中度或间歇性疼痛。满意率为98%。在卡潘迪量表上，平均对掌功能评分为9分；平均QuickDASH评分为30分。腕部、捏物和指尖捏力与未手术侧相当。在115个植入物中，1个在影像学上松动（1%），15个发生脱位（13%），其中12个是由外伤引起的。11例拇指接受了翻修手术。本研究证实，鲁比斯II型假体的良好临床效果在中长期得以维持，对于选定的患者而言，是大多角骨切除术的一个有用替代方案。
证据等级
IV级。
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