Mifsut-Miedes D, Rodríguez-Collell J R, Valverde-Navarro A, González-Soler E M
Universitat de València, Spain.
Hospital Malvarrosa de Valencia, Spain.
Case Rep Orthop. 2021 Oct 27;2021:6881168. doi: 10.1155/2021/6881168. eCollection 2021.
The high prevalence of trapeziometacarpal arthritis has resulted in the development of several surgical techniques intended to treat patients failing conservative treatment. However, there is no scientific evidence of the superiority of one technique over others. Open arthrodesis has up to now been successfully used to treat this condition. We believe that performing the technique using a minimally invasive approach with long and short Shannon burrs together with the tapered burr included in the MIS foot instrument set can yield satisfactory results. This article provides a description of this minimally invasive technique performed on a seventy-year-old woman with rhizarthrosis and an anatomical description of the approach in a human cadaver.
大多角骨-第一掌指关节关节炎的高发病率促使了多种手术技术的发展，这些技术旨在治疗保守治疗失败的患者。然而，没有科学证据表明一种技术比其他技术更具优越性。迄今为止，开放性关节融合术已成功用于治疗这种疾病。我们认为，使用微创方法，结合长、短香农磨头以及微创足部器械套装中的锥形磨头来实施该技术，能够取得令人满意的效果。本文描述了对一名患有拇指腕掌关节病的70岁女性实施的这种微创技术，并对在一具人类尸体上进行的该手术入路进行了解剖学描述。
