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针对第一腕掌关节关节炎的大多角骨置换:一种通过腱固定实现稳定的新技术。

Replacement of the trapezium for arthritis of the basal articulations: a new technique with stabilization by tenodesis.

作者信息

Eaton R G

出版信息

J Bone Joint Surg Am. 1979 Jan;61(1):76-82.

PMID:759441
Abstract

Forty-six patients (fifty hands) had replacement of the trapezium by a silicone implant that incorporated a local tendon strip to stabilize the device. The patients had intractable pain due to degenerative changes of multiple facets of the trapezium. The over-all rate of subluxation and dislocation was 10 per cent. In all hands, pain-free improved movement resulted. The pinch strength approximated the normal, averaging six kilograms for women and eight kilograms for men.

摘要

46例患者(50只手)接受了硅胶植入物置换大多角骨手术,该植入物结合了局部肌腱条以稳定装置。这些患者因大多角骨多个小关节的退行性变而患有顽固性疼痛。半脱位和脱位的总体发生率为10%。在所有病例中,均实现了无痛且活动改善。捏力接近正常,女性平均为6千克,男性平均为8千克。

相似文献

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Replacement of the trapezium for arthritis of the basal articulations: a new technique with stabilization by tenodesis.针对第一腕掌关节关节炎的大多角骨置换:一种通过腱固定实现稳定的新技术。
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引用本文的文献

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[Replacement of the thumb carpometacarpal joint : Current importance of endoprosthetics for operative treatment of rhizarthrosis].[拇指腕掌关节置换:人工关节置换术在创伤性关节炎手术治疗中的当前重要性]
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Trapezial topography in thumb carpometacarpal arthritis.
拇指腕掌关节炎中的大多角骨形态
J Wrist Surg. 2013 Aug;2(3):263-70. doi: 10.1055/s-0033-1350088.
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Surgical treatment of trapeziometacarpal joint arthritis: a historical perspective.外科治疗腕掌关节关节炎:历史回顾。
Clin Orthop Relat Res. 2014 Apr;472(4):1184-9. doi: 10.1007/s11999-013-3374-z.
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Modified Burton and Pellegrini procedure for trapezium excision, ligament reconstruction and interposition arthroplasty of the tendon of flexor Carpi radialis.改良的伯顿和佩莱格里尼手术,用于大多角骨切除、韧带重建及桡侧腕屈肌腱置入关节成形术。
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Trapezial arthroplasty with silicone rubber implantation for advanced osteoarthritis of the trapeziometacarpal joint of the thumb.硅胶植入式大多角骨成形术治疗拇指大多角掌关节晚期骨关节炎
Can J Surg. 2003 Apr;46(2):103-10.