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手部僵硬关节的外科治疗

The surgical management of stiff joints in the hand.

作者信息

Young V L, Wray R C, Weeks P M

出版信息

Plast Reconstr Surg. 1978 Dec;62(6):835-41. doi: 10.1097/00006534-197812000-00001.

DOI:10.1097/00006534-197812000-00001
PMID:715037
Abstract

Significant and lasting improvement in stiff MP and PIP joints can be achieved by operative management. Operative intervention should be considered only after persistence of stiffness after a vigorous program of nonoperative therapy. In our series of 135 such stiff finger joints, capsulotomy increased the range of motion in MP joints by more than 30 degrees in 68 percent of the patients, more than 50 degrees in 57 percent, and more than 70 degrees in 32 percent. The increased range of motion for the PIP joints was more than 30 degrees in 63 percent of the patients, more than 50 degrees in 41 percent, and more than 70 degrees in 25 percent.

摘要

通过手术治疗可显著且持久地改善掌指关节(MP)和近端指间关节(PIP)的僵硬状况。仅在积极的非手术治疗方案后僵硬仍持续存在时,才应考虑手术干预。在我们的135例此类僵硬手指关节病例系列中,关节囊切开术使68%的患者掌指关节活动范围增加超过30度,57%的患者增加超过50度,32%的患者增加超过70度。近端指间关节活动范围增加超过30度的患者占63%,增加超过50度的患者占41%,增加超过70度的患者占25%。

相似文献

1
The surgical management of stiff joints in the hand.手部僵硬关节的外科治疗
Plast Reconstr Surg. 1978 Dec;62(6):835-41. doi: 10.1097/00006534-197812000-00001.
2
The Pathogenesis and Treatment of the Stiff Finger.僵硬手指的发病机制与治疗。
Clin Plast Surg. 2019 Jul;46(3):339-345. doi: 10.1016/j.cps.2019.02.007. Epub 2019 Apr 19.
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Operative mobilization of stiff metacarpophalangeal joints: dorsal versus volar approach.僵硬掌指关节的手术松解:背侧入路与掌侧入路对比
Ann Plast Surg. 1980 Sep;5(3):178-85. doi: 10.1097/00000637-198009000-00002.
4
[Contracture release of PIP and MP joints : classification, technique and results].[近端指间关节和掌指关节挛缩松解术:分类、技术与结果]
Orthopade. 2008 Dec;37(12):1171-9. doi: 10.1007/s00132-008-1323-4.
5
Early motion after arthroplasty.关节置换术后的早期活动
Hand Clin. 1996 Feb;12(1):73-86.
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Capsulectomy of the metacarpophalangeal and proximal interphalangeal joints.掌指关节和近端指间关节的关节囊切除术。
J Hand Surg Am. 1979 Sep;4(5):482-6. doi: 10.1016/s0363-5023(79)80048-9.
7
[Reconstruction of metacarpophalangeal and interphalangeal joints with endoprostheses following injuries].[损伤后人工关节重建掌指关节和指间关节]
Handchir Mikrochir Plast Chir. 1988 Nov;20(6):324-9.
8
Influence of joint injury on motor and functional recovery of finger replantation.关节损伤对手指再植术后运动及功能恢复的影响。
Microsurgery. 1994;15(12):848-52. doi: 10.1002/micr.1920151205.
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[Modified volar plate arthroplasty for posttraumatic and idiopathic osteoarthritis of the metacarpophalangeal and proximal interphalangeal joints].[改良掌板置换术治疗掌指关节和近端指间关节创伤后及特发性骨关节炎]
Orthopade. 2008 Dec;37(12):1180-6. doi: 10.1007/s00132-008-1324-3.
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Management of posttraumatic finger contractures in adults.成人创伤后手指挛缩的管理
Hand Surg Rehabil. 2018 Oct;37(5):275-280. doi: 10.1016/j.hansur.2018.06.003. Epub 2018 Jul 20.

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