Weeks P M, Young V L, Wray R C
Ann Plast Surg. 1980 Sep;5(3):178-85. doi: 10.1097/00000637-198009000-00002.
The effectiveness and merits of the dorsal and volar approaches for release of structures contributing to metacarpophalangeal joint stiffness were studied in 61 joints in 23 patients. Seventy-six percent of the joints in the volar group gained greater than 50 degrees passive motion compared to 29% in the dorsal group. Forty-four percent of the joints in the volar group gained greater than 50 degrees active motion compared to 16% in the dorsal group. Discussion of surgical technique and postoperative management reveals that the advantages of the volar approach are most evident during postoperative management, while the main advantage of the dorsal approach is better operative exposure.
我们对23例患者的61个关节进行了研究，以探讨掌侧和背侧入路在松解导致掌指关节僵硬的结构方面的有效性和优点。掌侧组中76%的关节被动活动度增加超过50度，而背侧组为29%。掌侧组中44%的关节主动活动度增加超过50度，而背侧组为16%。手术技术和术后管理的讨论表明，掌侧入路的优势在术后管理中最为明显，而背侧入路的主要优势是手术暴露更好。
