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[损伤后人工关节重建掌指关节和指间关节]

[Reconstruction of metacarpophalangeal and interphalangeal joints with endoprostheses following injuries].

作者信息

Renner A, Manninger J

机构信息

Handchirurgischen Abteilung des Zentralinstituts für Traumatologie, Budapest.

出版信息

Handchir Mikrochir Plast Chir. 1988 Nov;20(6):324-9.

PMID:3234953
Abstract

Implants have been used since 1969 by the authors for the replacement of damaged finger joints following trauma. In several cases reconstruction of other damaged tissues in the same finger was also performed. A method is described for replacement of the central slip of the extensor tendon over the PIP joint. Analysis of twenty-one MP and sixty-eight PIP endoprostheses placed in eighty-three patients until 1979 is given. Significant improvement in the range of movement is seen. Preoperative pain was relieved in all cases. There was a need to change occupation in ten percent of patients. Careful analysis of early and late complications calls attention to the proper selection of patients for surgery.

摘要

自1969年起,作者就开始使用植入物来替换创伤后受损的手指关节。在一些病例中,还对同一手指的其他受损组织进行了重建。本文描述了一种用于替换近端指间关节(PIP)上伸肌腱中央束的方法。文中给出了截至1979年在83例患者中植入的21个掌指关节(MP)和68个近端指间关节假体的分析情况。可见活动范围有显著改善。所有病例术前的疼痛均得到缓解。10%的患者需要更换工作。对早期和晚期并发症的仔细分析提醒人们要谨慎选择手术患者。

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