Department of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Department of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
In Vivo. 2022 Mar-Apr;36(2):833-838. doi: 10.21873/invivo.12770.
BACKGROUND/AIM: Osteoarthritis (OA) at the trapeziometacarpal joint (TMC) is common. However, no published data on the TMC-OA surgery incidence exist. The aim of this study was to evaluate the incidence and trends of TMC-OA surgical treatment.
A nationwide hospital discharge register-based study was conducted among patients surgically treated for TMC-OA in Finland between 1997 and 2019.
A total of 8,728 surgeries were performed. The annual surgery incidence increased 10-fold from 1997 to 2019. The incidence was higher in women and increased the most in the age groups of 50-59 and 60-69 years. TMC resection arthroplasty with or without ligament reconstruction and/or tendon interposition accounted for 91% of all surgeries.
The increase in the surgical procedure rates is substantial. It is not explained by advancements in surgical treatment or by the ageing population. The indications for surgery appear to have become broader.
背景/目的：腕掌关节（TMC）的骨关节炎（OA）很常见。然而，目前尚无关于 TMC-OA 手术发病率的发表数据。本研究旨在评估 TMC-OA 手术治疗的发病率和趋势。
在芬兰，我们开展了一项基于全国医院出院登记的研究，纳入了 1997 年至 2019 年期间接受 TMC-OA 手术治疗的患者。
共进行了 8728 例手术。1997 年至 2019 年期间，手术发病率增加了 10 倍。女性发病率更高，50-59 岁和 60-69 岁年龄组发病率增加最多。TMC 切除术关节成形术，无论是否进行韧带重建和/或肌腱间置术，占所有手术的 91%。
手术率的增加是巨大的。这不能用手术治疗的进步或人口老龄化来解释。手术指征似乎变得更加广泛。
