Jorquera René, Melibosky Francisco, Villavicencio Aldo, Azócar Camila, Corvalán Gonzalo, Ramírez Paula, Paz Agustín
IWAS Faculty, INDISA - Department of Arthroscopic Wrist Surgery, IWC Chile.
Orthopedics and Trauma Department, Arthroscopy and Microsurgery INDISA Clinic, Santiago, de Chile.
J Wrist Surg. 2024 Jan 24;14(3):278-282. doi: 10.1055/s-0043-1776978. eCollection 2025 Jun.
Comminuted fractures involving the metacarpophalangeal joint are a real challenge for the hand surgeon due to the complexity of their management and the high frequency of functional sequelae caused by the incongruence of the joint surfaces and the injury of soft tissues requiring repair. Metacarpophalangeal joint arthroscopy is an emerging and useful tool for the upper extremity surgeon allowing assisted reduction and percutaneous fixation of these fractures since it permits a complete evaluation of the joint fragments and enables precision in the reduction with the advantage of being a minimally invasive and safe technique. This technique was performed in two patients with complex fractures of the metacarpophalangeal joint with good functional results. In conclusion, this technique is reproducible, with good results and minimal soft-tissue morbidity. It allows a stable osteosynthesis, enabling early joint mobility and rehabilitation, which is essential for function recovery.
由于掌指关节粉碎性骨折的治疗复杂，且关节面不平整和需要修复的软组织损伤导致功能后遗症的发生率较高，因此对手部外科医生来说是一项真正的挑战。掌指关节镜检查是上肢外科医生一种新兴且有用的工具，可辅助这些骨折的复位和经皮固定，因为它可以对关节碎片进行全面评估，并能精确复位，且具有微创和安全的优点。该技术应用于两名掌指关节复杂骨折患者，取得了良好的功能效果。总之，该技术具有可重复性，效果良好，软组织损伤最小。它能实现稳定的骨固定，使关节能够早期活动和康复，这对功能恢复至关重要。
