Merwin A Reid, Hester Andrew, Pientka William F
Department of Orthopaedic Surgery, JPS Health Network, Fort Worth, TX.
Tech Hand Up Extrem Surg. 2021 May 27;26(1):57-62. doi: 10.1097/BTH.0000000000000358.
Ray amputations of the hand are procedures performed for traumatic injuries, infection, neoplasm, and certain deformities. When performed for the central digits, the gap created between the remaining digits can significantly impact hand function. Multiple deep transverse metacarpal ligament reconstruction techniques and bone transposition have been described to address this issue. The purpose of this case series is to describe a novel technique utilizing a knotless suture anchor reconstruction of the deep transverse metacarpal ligament after central digit ray amputation. We present a novel knotless suture anchor reconstruction technique through a single incision which allowed for an immediate range of motion. We present 2 cases where this technique was utilized with satisfactory cosmetic and functional outcomes. Knotless webspace reconstruction for central metacarpal ray resection reconstruction is technically simple and allowed for immediate motion with satisfactory cosmetic and functional patient outcomes. Level of Evidence: Level IV-therapeutic.
手部的射线截肢手术是针对创伤性损伤、感染、肿瘤和某些畸形而进行的手术。当用于中央手指时，剩余手指之间形成的间隙会显著影响手部功能。已经描述了多种深横掌韧带重建技术和骨移位方法来解决这个问题。本病例系列的目的是描述一种在中央手指射线截肢后利用无结缝线锚钉重建深横掌韧带的新技术。我们通过单一切口展示了一种新型无结缝线锚钉重建技术，该技术允许立即进行活动范围。我们展示了2例采用该技术的病例，其美容和功能效果令人满意。用于中央掌骨射线切除重建的无结指蹼间隙重建技术在技术上简单易行，可使患者立即活动，美容和功能效果良好。证据级别：四级-治疗性。
