Athlani L
Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gallé, CHU de Nancy, 49 Rue Hermite, 54000 Nancy, France.
Hand Surg Rehabil. 2021 Sep;40S:S42-S45. doi: 10.1016/j.hansur.2020.04.014. Epub 2021 Jan 2.
Trapeziometacarpal joint ligament reconstruction is a surgical option in the early stages of thumb basal joint arthritis when the joint is painful and unstable without chondropathy. Arthroscopy is invaluable here to ensuring the joint surfaces are intact, which is often underestimated by radiography. The Eaton-Littler procedure using a distally pedicled flexor carpi radialis slip has been studied the most in this context. This reconstruction provides pain relief while slowing the rapid development of osteoarthritis.
在拇指腕掌关节关节炎早期，当关节疼痛且不稳定但无软骨病时，梯形腕掌关节韧带重建是一种手术选择。关节镜检查对于确保关节表面完整非常重要，而这一点在X线检查中常常被低估。在这种情况下，对使用桡侧腕屈肌远端带蒂肌腱的伊顿-利特勒手术研究得最多。这种重建术可缓解疼痛，同时减缓骨关节炎的快速发展。
