Wyss A, Segmüller G
Handchirurgie. 1980;12(1-2):65-8.
This type of endoprosthesis was used for four years in chronically painful idiopathic osteoarthritis of the carpometacarpal joint of the thumb. Our results match exactly those published by the originator of the endoprosthesis CAFFINIERE, i.e. 70% excellent results, nearly 30% problem cases. The problem of loosening of the stem or the cup of the prosthesis seems to depend in our cases on the operative technique rather than on the design or other factors. In the rheumatoid patient as well as in polyarthrotic hands we cannot encourage the prosthetic replacement of the carpometacarpal joint of the thumb.
这种类型的人工关节已在拇指腕掌关节慢性疼痛性特发性骨关节炎中使用了四年。我们的结果与该人工关节发明者卡菲涅尔所公布的结果完全相符，即70%的结果极佳，近30%的情况有问题。在我们的病例中，假体柄或髋臼松动问题似乎取决于手术技术，而非设计或其他因素。对于类风湿患者以及多关节受累的手部，我们不提倡对拇指腕掌关节进行假体置换。
