Nonnenmacher J, Graftiaux A G
Centre de Traumatologie et d'Orthopédie de la CRAMAM de Strasbourg, Illkirch-Graffenstaden.
Ann Chir Main Memb Super. 1994;13(1):26-35. doi: 10.1016/s0753-9053(05)80354-0.
The authors have studied twenty total prosthesis of de la Caffinière. These prostheses have been inserted between 1980 and 1990 at the "centre de Traumatologie et d'Orthopédie de Strasbourg", following a trapezo-metacarpal arthritis. According to a post-operative average of five years, the results are good in 70% cases. A study of the mobility and of the strength of the hand, as well as one of the radiography, allows to make bring out two complications: the first, rarely studied for this prosthesis, is a rigidity of the trapezo-metacarpal articulation due to post-operative ossifications. Consequently the post-operative ossifications. Consequently the post-operative benefit decreases proportionally to the importance of the rigidity; the second, already pointed out in few articles, is the presence of radio lucent lines which is asymptomatic in 20% of cases. The causes founded are different from the one already published. Anyway, in spite of those risks, it is globally useful in the majority of cases. Therefore the authors remain loyal to this intervention in the presence of an isolated trapezio metacarpal arthritis to the patients with are not subjected to handicrafts.
作者研究了20个德拉卡菲尼埃全假体。这些假体于1980年至1990年间在斯特拉斯堡创伤与矫形中心植入，用于治疗大多角骨-掌骨关节炎。根据术后平均五年的情况，70%的病例结果良好。对手部的活动度和力量进行研究，以及进行影像学检查，发现了两种并发症：第一种，这种假体很少被研究，是由于术后骨化导致大多角骨-掌骨关节僵硬。因此术后骨化。因此，术后益处会随着僵硬程度的加重而成比例降低；第二种，少数文章中已指出，是存在透亮线，20%的病例中无症状。发现的原因与已发表的不同。无论如何，尽管存在这些风险，但在大多数情况下总体上是有用的。因此，对于非手工艺从业者的孤立性大多角骨-掌骨关节炎患者，作者在大多数情况下仍坚持这种干预措施。
