Carroll R E
Clin Orthop Relat Res. 1987 Jul(220):106-10.
Arthrodesis of the carpometacarpal joint of the thumb is useful in reconstruction of hand deficiencies and in eliminating pain at this site. The author has speculated that fusion of the carpometacarpal joint might lead to pantrapezial arthritis in later years. No patients with painful arthritis received this operation if they were beyond 50 years of age. Sixty-seven patients were followed for three to 25 years after surgery and none have yet developed painful pantrapezial arthritis. Many are still at an age when arthritis is not a problem. A colleague contributed a case of a 60-year-old patient who received a carpometacarpal arthrodesis and who later developed painful arthritis of the adjacent joints. This case demonstrates the need for restraint in using this procedure for the alleviation of arthritis pain in patients over 50 years of age.
拇指腕掌关节融合术对手部缺损的重建以及消除该部位的疼痛很有用。作者推测腕掌关节融合术可能会在晚年导致全大多角骨关节炎。50岁以上患有疼痛性关节炎的患者均未接受此手术。67例患者术后随访3至25年，均未出现疼痛性全大多角骨关节炎。许多患者仍处于关节炎不成问题的年龄。一位同事提供了一个病例，一名60岁的患者接受了腕掌关节融合术，后来相邻关节出现了疼痛性关节炎。该病例表明，对于50岁以上患者，在使用此手术缓解关节炎疼痛时需要谨慎。
