Holzbauer Matthias, Mihalic Julian Alexander, Gotterbarm Tobias, Froschauer Stefan Mathias
Department for Orthopedics and Traumatology, Kepler University Hospital GmbH, Krankenhausstrasse 9, 4020 Linz, Austria.
Faculty of Medicine, Johannes Kepler University Linz, Altenberger Strasse 69, 4040 Linz, Austria.
J Clin Med. 2024 Oct 17;13(20):6179. doi: 10.3390/jcm13206179.
Thumb carpometacarpal arthroplasty has become a widely used standard technique in the surgical treatment of thumb carpometacarpal osteoarthritis. One of the most critical steps during this procedure is proper surgical exposure of the trapezium and the base of the first metacarpal to allow for prosthesis implantation. This article introduces a surgical technique in which a roll constructed from gauze sponges tightly wrapped with medical tape facilitates several steps in thumb carpometacarpal arthroplasty. While performing a dorsoradial approach to the thumb carpometacarpal joint, this cost-effective tool is perfectly tailored to the joint's unique anatomy. It aids in precise hand positioning and ensures optimal exposure of the trapezium and base of the first metacarpal, which is crucial for accurate cup and stem preparation as well as for unimpeded prosthesis implantation.
拇指腕掌关节置换术已成为拇指腕掌关节骨关节炎外科治疗中广泛应用的标准技术。该手术过程中最关键的步骤之一是正确地手术显露大多角骨和第一掌骨基底，以便植入假体。本文介绍一种手术技术，即用医用胶带紧密包裹纱布海绵制成的卷轴有助于拇指腕掌关节置换术的几个步骤。在采用背桡侧入路处理拇指腕掌关节时，这种经济高效的工具与关节独特的解剖结构完美适配。它有助于精确的手部定位，并确保大多角骨和第一掌骨基底的最佳显露，这对于准确制备髋臼和柄以及假体的顺利植入至关重要。
