植入式关节成形术：手术入路及植入物的选择
Implant Arthroplasty: Selection of Exposure and Implant.
作者信息
Yamamoto Michiro, Chung Kevin C
机构信息
Section of Plastic Surgery, Department of Surgery, University of Michigan, 2130 Taubman Center, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA; Department of Hand Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan.
Section of Plastic Surgery, Department of Surgery, University of Michigan, 2130 Taubman Center, SPC 5340, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA.
出版信息
Hand Clin. 2018 May;34(2):195-205. doi: 10.1016/j.hcl.2017.12.009.
This review analyzes various surgical exposures and implant designs for proximal interphalangeal (PIP) joint pathology. Our literature review found that silicone implants using a volar approach had the best arc of motion, least extension lag, and lowest complication rates compared with all the other implant designs and approaches. Surface replacement arthroplasties had more frequent surgical revisions compared with silicone implants. Continued efforts toward the development of improved PIP joint implants are necessary.
本综述分析了用于近端指间（PIP）关节病变的各种手术暴露方式和植入物设计。我们的文献综述发现，与所有其他植入物设计和手术入路相比，采用掌侧入路的硅胶植入物具有最佳的活动弧度、最小的伸直滞后和最低的并发症发生率。与硅胶植入物相比，表面置换关节成形术的手术翻修更为频繁。持续努力开发改进的PIP关节植入物是必要的。
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