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手部近端指间关节的柔性植入物关节成形术。

Flexible implant arthroplasty in the proximal interphalangeal joint of the hand.

作者信息

Swanson A B, Maupin B K, Gajjar N V, Swanson G D

出版信息

J Hand Surg Am. 1985 Nov;10(6 Pt 1):796-805. doi: 10.1016/s0363-5023(85)80154-4.

DOI:10.1016/s0363-5023(85)80154-4
PMID:4078262
Abstract

Between 1966 and 1981, 812 proximal interphalangeal joints were reconstructed by the senior author using the flexible silicone rubber implant resection arthroplasty method. Within this series, a group of 182 patients with 424 proximal interphalangeal joint implants were available for a detailed clinical and roentgenographic review. Increased motion in a more functional arc with good pain relief and a favorable bone response pattern were noted in most cases after surgery. Complications were rare and included implant dislocation or fracture, recurrence of deformity, and infection. The highest complication rate was noted in implant reconstructions performed to correct rheumatoid swan-neck deformities.

摘要

1966年至1981年间,资深作者采用柔性硅橡胶植入物切除关节成形术对812个近端指间关节进行了重建。在这个系列中,一组182例患者的424个近端指间关节植入物可供进行详细的临床和X线检查。大多数病例术后均出现功能弧运动增加、疼痛明显缓解以及良好的骨反应模式。并发症很少见,包括植入物脱位或骨折、畸形复发和感染。在为纠正类风湿性鹅颈畸形而进行的植入物重建中,并发症发生率最高。

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