Hess Daniel E, Drace Patricia, Franco Michael J, Chhabra A Bobby
Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.
Department of Plastic and Reconstructive Surgery, Cooper University Hospital, Camden, NJ.
J Hand Surg Am. 2018 Sep;43(9):844-852. doi: 10.1016/j.jhsa.2018.03.052. Epub 2018 Jun 20.
Carpometacarpal (CMC) arthroplasty surgery, although modifications have occurred over time, continues to be commonly performed and has provided patients with their desired pain relief and return of function. The complications of primary surgery, although relatively rare, can present in various clinical ways. An understanding of the underlying anatomy, pathology of coexisting conditions, and specific techniques used in the primary surgery is required to make the best recommendation for a patient with residual pain following primary CMC arthroplasty. The purpose of this review is to provide insights into the history of CMC arthroplasty and reasons for failure and to offer an algorithmic treatment approach for the clinical problem of persistent postoperative symptoms.
腕掌关节（CMC）置换手术，尽管随着时间推移有所改进，但仍经常进行，并为患者提供了他们所期望的疼痛缓解和功能恢复。初次手术的并发症虽然相对罕见，但可能以各种临床方式出现。为初次CMC置换术后仍有疼痛的患者提供最佳建议，需要了解潜在的解剖结构、并存疾病的病理以及初次手术中使用的特定技术。本综述的目的是深入了解CMC置换手术的历史和失败原因，并为术后持续症状的临床问题提供一种算法化的治疗方法。
