Goyal Nitin, Wilson David J, Salzano Michael B, Wysocki Robert W, Cohen Mark S, Fernandez John J
Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL.
Tech Hand Up Extrem Surg. 2020 Mar;24(1):47-52. doi: 10.1097/BTH.0000000000000270.
Index finger metacarpophalangeal (MCP) joint arthrodesis is a potential reconstructive option for recalcitrant MCP arthritis. Due to lateral forces applied by the thumb, our institutional experience supports index finger MCP arthrodesis as a successful option in younger, higher demand patients and in the setting of significant joint instability. We present our technique of performing index finger MCP arthrodesis using a dorsal locking plate. The proposed benefits of this technique include the ability to position the MCP joint in the desired degree of flexion, generation of parallel fusion surfaces with even compression across the arthrodesis site, and stable fixation.
食指掌指关节融合术是治疗顽固性掌指关节炎的一种潜在重建选择。由于拇指施加的侧向力，我们机构的经验支持在年轻、需求较高的患者以及存在明显关节不稳定的情况下，食指掌指关节融合术是一种成功的选择。我们介绍使用背侧锁定钢板进行食指掌指关节融合术的技术。该技术的潜在优势包括能够将掌指关节置于所需的屈曲角度、在融合部位产生平行的融合面并实现均匀加压，以及稳定固定。
