全拇指腕掌关节成形术治疗失败的腕掌关节融合术。
Total thumb carpometacarpal arthroplasty for failed trapeziometacarpal joint arthrodesis.
机构信息
Hospital Universitario Marqués de Valdecilla, Avenida de Valdecilla s/n., 39010 Santander, Cantabria, Spain.
icatMA, Hand and Microsurgery Unit, ICATME, Hospital Universitari Quiron-Dexeus, Carrer de Sabino Arana, 5-19, 08028 Barcelona, Spain.
出版信息
Hand Surg Rehabil. 2021 Jun;40(3):347-349. doi: 10.1016/j.hansur.2020.12.014. Epub 2021 Feb 25.
Trapeziometacarpal joint arthrodesis is a surgical option for osteoarthritis of the first carpometacarpal joint; however, it has well-known disadvantages such as non-union and reduced mobility. Revision procedures are often not discussed and lack consensus. We are reporting two cases of satisfactory thumb implant arthroplasty for failed trapeziometacarpal joint arthrodesis in order to discuss the surgical technique, its advantages compared with other surgical options and therefore its potential indications.
第一腕掌关节骨关节炎的外科治疗选择之一是舟状骨和大多角骨融合术，但该手术存在众所周知的缺点，如不愈合和活动度降低。翻修手术往往没有被讨论，也没有达成共识。我们报告了两例舟状骨和大多角骨融合术失败后行拇指植入物关节成形术的成功病例，以讨论手术技术、与其他手术选择相比的优势，从而明确其潜在适应证。
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