University of Pretoria and Jacaranda Hospital, Pretoria, South Africa. Editor IFSSH Ezine..
Hand Clin. 2022 Aug;38(3):305-312. doi: 10.1016/j.hcl.2022.02.007.
It has long been thought that the surgical treatment of osteoarthritis of the first carpometacarpal joint must replicate the normal anatomy. Common sense argues that biomechanical stability can be achieved by a simple ball-and-socket joint obviating complicated ligament reconstructions and trapezium replacements. Our argument is presented and the conclusions are based on the results of a very large series over a long period. A simple trapezium excision arthroplasty of the base of the thumb without ligamentous reconstructions is all that needs to be done to surgically solve painful osteoarthritis of the first carpometacarpal joint. Anything more is overoperating.
长期以来，人们一直认为第一腕掌关节骨关节炎的手术治疗必须复制正常解剖结构。常识认为，通过简单的球窝关节可以实现生物力学稳定性，从而避免复杂的韧带重建和大多角骨置换。我们提出了自己的观点，并基于长期大量的系列研究结果得出了相应的结论。对于第一腕掌关节疼痛性骨关节炎，只需进行简单的大多角骨基底切除成形术，而无需进行韧带重建即可获得满意的手术效果。任何更进一步的操作都是过度治疗。
