• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

创伤性掌指关节缺损的关节成形术治疗：一项为期三年的回顾性研究

Arthroplasty for Treating Traumatic Metacarpophalangeal Joint Defects: A Retrospective Study Over Three Years.

作者信息

Xie Fei, Lan Xianfeng, Lin Jingui

机构信息

Department of Hand Surgery, Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou, Fujian, 350004, People's Republic of China.

出版信息

J Pain Res. 2021 May 27;14:1457-1464. doi: 10.2147/JPR.S299135. eCollection 2021.

DOI:10.2147/JPR.S299135
PMID:34093036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8168832/
Abstract

BACKGROUND

Bone loss at the metacarpophalangeal joint (MCP) after trauma is difficult to treat.

OBJECTIVE

We aimed to investigate the effectiveness of Swanson's arthroplasty and the reason for implant fracture.

METHODS

We retrospectively analyzed the data of 175 patients who underwent emergency MCP arthroplasty between 2013 and 2016. Some patients used a orthosis to limit the radioulnar movement of the metacarpal joint for eight weeks after surgery (Group A), while the other patients underwent only hand rehabilitation after surgery (Group B). The basic information and perioperative data of the patients were compared. The patients were followed up clinically for an average of 65±19 months. Postoperative and follow-up complications and functional parameters were recorded and compared. Stress model of implant fracture had been analyzed in order to mark the frequent area.

RESULTS

A total of 162 patients were followed up, 4 of whom were lost to follow-up completely and 9 of whom were followed up by telephone only. There were 11 and 26 implant fractures in groups A and B, respectively (P=0.019), and the degrees of radioulnar movement were 2±1° and 7±4°, respectively (P<0.01). The disabilities of the arm, shoulder, and hand (DASH) score and MCP joint range of motion (ROM) did not significantly differ.

CONCLUSION

The effect of Swanson's arthroplasty for bone loss at MCP joint is useful. The radioulnar stress may be the reason for implant fracture. Joint orthosis can reduce the incidence of implant fractures.

摘要

背景

创伤后掌指关节（MCP）骨质流失难以治疗。

目的

我们旨在研究斯旺森关节成形术的有效性及植入物骨折的原因。

方法

我们回顾性分析了2013年至2016年间接受急诊MCP关节成形术的175例患者的数据。部分患者术后使用矫形器限制掌指关节的桡尺运动8周（A组），而其他患者术后仅进行手部康复（B组）。比较患者的基本信息和围手术期数据。对患者进行平均65±19个月的临床随访。记录并比较术后及随访并发症和功能参数。分析植入物骨折的应力模型以标记常见区域。

结果

共162例患者得到随访，其中4例完全失访，9例仅通过电话随访。A组和B组分别有11例和26例植入物骨折（P = 0.019），桡尺运动度分别为2±1°和7±4°（P < 0.01）。上肢、肩部和手部功能障碍（DASH）评分和MCP关节活动范围（ROM）无显著差异。

结论

斯旺森关节成形术治疗MCP关节骨质流失效果良好。桡尺应力可能是植入物骨折的原因。关节矫形器可降低植入物骨折的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/34860620fc5c/JPR-14-1457-g0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/6f686971b3fb/JPR-14-1457-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/839c88e65819/JPR-14-1457-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/46d533d3d68b/JPR-14-1457-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/44ff45a94410/JPR-14-1457-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/bd2e523b8afe/JPR-14-1457-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/f911e454b885/JPR-14-1457-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/de5387a52fb2/JPR-14-1457-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/34860620fc5c/JPR-14-1457-g0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/6f686971b3fb/JPR-14-1457-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/839c88e65819/JPR-14-1457-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/46d533d3d68b/JPR-14-1457-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/44ff45a94410/JPR-14-1457-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/bd2e523b8afe/JPR-14-1457-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/f911e454b885/JPR-14-1457-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/de5387a52fb2/JPR-14-1457-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9e1/8168832/34860620fc5c/JPR-14-1457-g0008.jpg

相似文献

1
Arthroplasty for Treating Traumatic Metacarpophalangeal Joint Defects: A Retrospective Study Over Three Years.创伤性掌指关节缺损的关节成形术治疗：一项为期三年的回顾性研究
J Pain Res. 2021 May 27;14:1457-1464. doi: 10.2147/JPR.S299135. eCollection 2021.
2
Percutaneous Distraction Pinning for Metacarpophalangeal Joint Stabilization After Blast or Crush Injuries of the Hand.经皮穿针牵引用于手部爆炸伤或挤压伤后掌指关节稳定术
Clin Orthop Relat Res. 2015 Sep;473(9):2785-9. doi: 10.1007/s11999-015-4233-x.
3
Risk Factors Contributing to Early Implant Fracture in Silicone Metacarpophalangeal Joint Arthroplasty for Patients With Rheumatoid Arthritis.导致类风湿关节炎患者硅橡胶掌指关节成形术后早期假体骨折的危险因素。
J Hand Surg Am. 2021 Mar;46(3):243.e1-243.e7. doi: 10.1016/j.jhsa.2020.09.002. Epub 2020 Nov 6.
4
[Functional study of Swanson's metacarpophalangeal arthroplasties in rheumatoid arthritis].[斯旺森掌指关节置换术在类风湿关节炎中的功能研究]
Ann Chir. 1995;49(8):775-8.
5
Silicone implant arthroplasty in patients with idiopathic osteoarthritis of the metacarpophalangeal joint.掌指关节特发性骨关节炎患者的硅胶植入关节成形术。
J Hand Surg Am. 2005 Jul;30(4):667-72. doi: 10.1016/j.jhsa.2005.02.011.
6
Silicone arthroplasty for nonrheumatic metacarpophalangeal joint arthritis.用于非风湿性掌指关节关节炎的硅胶关节成形术。
J Hand Surg Am. 2013 Dec;38(12):2412-8. doi: 10.1016/j.jhsa.2013.09.016. Epub 2013 Oct 30.
7
Does trapeziectomy with ligament reconstruction and tendon interposition arthroplasty correct the metacarpophalangeal joint hyperextension associated with trapeziometacarpal osteoarthritis?关节囊切开术联合韧带重建和肌腱间置关节成形术是否能纠正伴有腕掌关节炎的掌指关节过度伸展？
Arch Orthop Trauma Surg. 2021 Jul;141(7):1261-1268. doi: 10.1007/s00402-021-03838-8. Epub 2021 Mar 1.
8
Alumina ceramic prosthesis arthroplasty of the metacarpophalangeal joint in the rheumatoid hand. A 2-4-year follow-up study.类风湿性手部掌指关节的氧化铝陶瓷假体置换术。一项2至4年的随访研究。
J Arthroplasty. 1988;3(2):157-66. doi: 10.1016/s0883-5403(88)80081-0.
9
The use of a third metacarpal base osteoarticular flap for treatment of metacarpophalangeal joint traumatic defects.应用第三掌骨基底骨-关节瓣治疗掌指关节创伤性缺损。
J Hand Surg Am. 2012 Sep;37(9):1791-805. doi: 10.1016/j.jhsa.2012.06.004. Epub 2012 Jul 31.
10
[Silastic implant arthroplasty of the second to fifth metacarpophalangeal joints in rheumatoid arthritis].[类风湿关节炎中第二至第五掌指关节的硅橡胶植入关节成形术]
Acta Chir Orthop Traumatol Cech. 2007 Aug;74(4):278-86.

引用本文的文献

1
Clinical study of 3D-printed personalized prostheses for the treatment of traumatic metacarpophalangeal joint defects.3D打印个性化假体治疗创伤性掌指关节缺损的临床研究
BMC Musculoskelet Disord. 2025 Jul 29;26(1):730. doi: 10.1186/s12891-025-08971-8.
2
Current Principles in the Management of a Mangled Hand.手部严重损伤的当前治疗原则
J Hand Surg Glob Online. 2024 Aug 22;7(2):326-330. doi: 10.1016/j.jhsg.2024.07.009. eCollection 2025 Mar.
3
Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Series And Literature Review.

本文引用的文献

1
National Prevalence of Complications and Cost of Small Joint Arthroplasty for Hand Osteoarthritis and Post-Traumatic Arthritis.手部骨关节炎和创伤后关节炎小关节置换术的全国并发症发生率及成本
J Hand Surg Am. 2020 Jun;45(6):553.e1-553.e12. doi: 10.1016/j.jhsa.2019.11.002. Epub 2020 Jan 8.
2
Prognostic Factors for Nonsurgically Treated Sagittal Band Injuries of the Metacarpophalangeal Joint.掌指关节矢状束损伤非手术治疗的预后因素
J Hand Surg Am. 2019 Oct;44(10):897.e1-897.e5. doi: 10.1016/j.jhsa.2018.11.011. Epub 2019 Jan 16.
3
Revision Metacarpophalangeal Arthroplasty: A Longitudinal Study of 128 Cases.
枪伤后掌指关节挽救：病例系列及文献综述
J Hand Surg Glob Online. 2024 Nov 25;7(1):117-120. doi: 10.1016/j.jhsg.2024.11.004. eCollection 2025 Jan.
4
Metacarpal Joint Arthroplasty in the Acute Setting: A Case Report.急性情况下的掌指关节置换术：一例报告
J Orthop Case Rep. 2023 Nov;13(11):147-151. doi: 10.13107/jocr.2023.v13.i11.4040.
掌指关节成形术：128 例的纵向研究。
J Am Acad Orthop Surg. 2019 Mar 15;27(6):211-218. doi: 10.5435/JAAOS-D-17-00042.
4
Long-term outcomes of silicone metacarpophalangeal arthroplasty: a longitudinal analysis of 325 cases.硅胶掌指关节置换术的长期疗效：325例病例的纵向分析
J Hand Surg Eur Vol. 2018 Dec;43(10):1076-1082. doi: 10.1177/1753193418778461. Epub 2018 May 31.
5
Sites of fractures in explanted NeuFlex® silicone metacarpophalangeal joint prostheses.取出的NeuFlex®硅酮掌指关节假体的骨折部位。
J Hand Surg Eur Vol. 2018 Dec;43(10):1083-1087. doi: 10.1177/1753193418774500. Epub 2018 May 12.
6
Articular Surgery of the Ischemic Hand in Systemic Scleroderma: A Vascular Basis for Arthrodesis and Arthroplasty.系统性硬化症中缺血性手部的关节手术：关节融合术和关节成形术的血管基础
J Hand Surg Am. 2018 Jun;43(6):574.e1-574.e9. doi: 10.1016/j.jhsa.2018.03.008. Epub 2018 Apr 9.
7
Silicone Metacarpophalangeal Arthroplasty for Osteoarthritis: Long-Term Results.用于骨关节炎的硅胶掌指关节置换术：长期结果
J Hand Surg Am. 2018 Mar;43(3):229-233. doi: 10.1016/j.jhsa.2017.10.010. Epub 2017 Nov 14.
8
Implant Arthroplasty for Proximal Interphalangeal, Metacarpophalangeal, and Trapeziometacarpal Joint Degeneration.用于近端指间关节、掌指关节和大多角骨掌骨关节退变的植入性关节成形术。
J Hand Surg Am. 2017 Oct;42(10):817-825. doi: 10.1016/j.jhsa.2017.07.030. Epub 2017 Aug 30.
9
Emergency metacarpophalangeal arthroplasty with bone grafting for traumatic joint destruction.急诊掌指关节置换术联合植骨治疗创伤性关节破坏
Orthop Traumatol Surg Res. 2017 Nov;103(7):1105-1108. doi: 10.1016/j.otsr.2017.07.007. Epub 2017 Aug 5.
10
Functional and patient-reported outcomes of the Swanson metacarpo-phalangeal arthroplasty in the rheumatoid hand.类风湿性手部Swanson掌指关节成形术的功能及患者报告结局
Arch Orthop Trauma Surg. 2017 May;137(5):725-731. doi: 10.1007/s00402-017-2675-1. Epub 2017 Mar 24.