Bontemps E, Tillmann K
Orthopädischen Abteilung, Rheumaklinik Bad Bramstedt GmbH, Bad Bramstedt/Hotstein.
Handchir Mikrochir Plast Chir. 1988 Nov;20(6):321-3.
Long-term results of 100 cemented finger joint replacements (endoprosthesis) of the "St. Georg" design are presented. Good reduction in pain and swelling was noted. There was only a little improvement in motion of the replaced metacarpophalangeal joint, but more in the proximal interphalangeal joint; the latter decreasing from radial to ulnar. Approximately one half of the preoperative ulnar deviation was corrected. Mechanical failures occurred in approximately 30% of the implants. Without changing the design, this demanding technique cannot be recommended routinely.
本文介绍了100例采用“圣乔治”设计的骨水泥型手指关节置换术(人工关节)的长期结果。疼痛和肿胀明显减轻。置换的掌指关节活动度仅有轻微改善,但近端指间关节改善更明显;后者从桡侧向尺侧递减。术前约一半的尺侧偏斜得到纠正。约30%的植入物出现机械故障。在不改变设计的情况下,这种要求较高的技术不建议常规使用。