Schmitt E, Heisel J
Z Orthop Ihre Grenzgeb. 1985 Jan-Feb;123(1):54-9. doi: 10.1055/s-2008-1045108.
First the etiology, clinical signs and differential diagnosis of the basal joint of the thumb are represented. Then a short summary is given about the possibilities of conservative and operative therapy. In operative treatment, there are techniques of maintaining the flexibility of this joint as well as the arthrodesis. In our clinic we prefer operative techniques by removal of the multangulum majus or implantation of an artificial joint (Francobal-endoprosthesis). The results of our 22 patients, who had an operation of an arthritis of the basal joint of the thumb were controlled clinically and radiologically. We specially controlled the function and stability of the thumb and if the patient was able to manage his occupation. In arthritis of the basal joint of the thumb, the excision of the multangulum majus had good results and may be recommended. The arthroplasty of this joint had good early results, too. Here late results remain to be seen.
首先介绍了拇指腕掌关节的病因、临床症状及鉴别诊断。然后简要总结了保守治疗和手术治疗的可能性。在手术治疗中，有保持该关节灵活性的技术以及关节融合术。在我们的诊所，我们更倾向于通过切除大多角骨或植入人工关节（弗朗科巴尔人工关节）的手术技术。我们对22例接受拇指腕掌关节关节炎手术的患者的结果进行了临床和放射学检查。我们特别检查了拇指的功能和稳定性，以及患者是否能够胜任其工作。在拇指腕掌关节关节炎中，切除大多角骨取得了良好的效果，值得推荐。该关节的关节成形术早期效果也较好。不过晚期效果还有待观察。
