Haber J, Boswick J A, Phelps D B
Clin Orthop Relat Res. 1979 May(140):178-83.
In 116 hand metacarpophalangeal joint arthroplasties of the flexible type, the operative technique did not include reconstruction of capsular or ligamentous structures, but employed meticulous relocation of the common extensor tendons, and a modification of the metacarpal osteotomy plane and shape. A closely supervised program of splintage and therapy was instituted postoperatively. This series does not vary significantly with respect to range of motion or recurrence of ulnar drift (seen only when patients failed to wear splints as directed) in comparison to other reports. The results, therefore, fail to support the concept that radial capsular and ligamentous reconstruction is an essential part of this procedure.
在116例柔性人工掌指关节置换术中，手术技术不包括关节囊或韧带结构的重建，而是精心重新定位指总伸肌腱，并对掌骨截骨平面和形状进行改良。术后制定了严密监督的夹板固定和治疗方案。与其他报告相比，该系列在活动范围或尺侧偏移复发（仅在患者未按指示佩戴夹板时出现）方面无显著差异。因此，结果未能支持桡侧关节囊和韧带重建是该手术必不可少的一部分这一概念。
