de la Caffiniere J Y, Aucouturier P
Hand. 1979 Feb;11(1):41-6. doi: 10.1016/s0072-968x(79)80007-8.
Thirty-four total trapezio-metacarpal prostheses have been fitted since 1971. Twenty-eight have had a follow-up for more than six months (up to a maximum of five years) and allow a valid assessment of the situation. The operations were undertaken for rheumatoid, osteoarthritic disease, and following trauma. The reasons were either pain, mechanical instability, or stiffness. Two out of three times results were good. The best results were obtained for pain and stability. Those where the indication was stiffness were less satisfying. There were five cases of loosening of the trapezial cup due to operative errors. The mediocre results in general are caused by incomplete treatment allowing an associated lesion to develop. Greater strictness in the indications and in carrying out of operation ought to ensure better results.
自1971年以来，共安装了34个大多角骨-掌骨假体。其中28个进行了超过6个月（最长5年）的随访，从而能够对情况进行有效评估。这些手术针对类风湿性关节炎、骨关节炎疾病以及创伤后情况进行。手术原因包括疼痛、机械性不稳定或僵硬。三分之二的结果良好。在疼痛和稳定性方面取得了最佳结果。那些以僵硬为指征的情况不太令人满意。有5例由于手术失误导致大多角骨杯松动。总体而言，结果欠佳是由于治疗不彻底导致相关病变发展。在手术指征和手术实施方面更加严格应该能确保更好的结果。
