Schoenaers M, Degreef I, De Smet L
Acta Orthop Belg. 2017 Mar;83(1):30-34.
The ligamentous reconstruction according to Eaton and Littler (7) was designed to restore the stability of the carpometacarpal joint of the thumb. We evaluated the patients' satisfaction after an Eaton and Littler-procedure as well as possible risk factors in the development of thumb basal joint instability. A retrospective chart review and clinical assessment or telephone survey are executed in 33 patients, with a mean follow-up of 7 years. Only 45% of the patients were satisfied. Within the group of clinical assessed patients, there were significant differences in thumb function comparing operated with not operated side. Overall joint hypermobility can be a contributing factor for this thumb basal joint instability, but has no effect on the outcome after an Eaton-Littler procedure.
根据伊顿（Eaton）和利特勒（Littler）（7）的方法进行的韧带重建旨在恢复拇指腕掌关节的稳定性。我们评估了伊顿和利特勒手术（Eaton and Littler-procedure）后患者的满意度以及拇指基底关节不稳定发展的可能风险因素。对33例患者进行了回顾性病历审查、临床评估或电话调查，平均随访7年。只有45%的患者感到满意。在临床评估的患者组中，手术侧与未手术侧的拇指功能存在显著差异。总体关节活动过度可能是导致拇指基底关节不稳定的一个因素，但对伊顿-利特勒手术后的结果没有影响。
