Conolly W B, Rath S
Sydney Hospital Hand Unit, Australia.
J Hand Surg Br. 1993 Aug;18(4):533-9. doi: 10.1016/0266-7681(93)90166-d.
Between the years 1980 to 1987, 17 patients had revision procedures for complications of surgery for osteoarthritis of the carpometacarpal joint of the thumb. 12 followed silastic implant arthroplasty, four trapeziectomy and one arthrodesis. The failed silastic arthroplasties were treated by removal of the implant, and soft tissue arthroplasty in eight, revision with another implant in three and intermetacarpal bone grafting in one. Patients with metacarpo-scaphoid arthritis after trapeziectomy were treated by silastic implant arthroplasty in three and fusion in one. Nine of the 17 revision procedures (53%) had good, three (18%) fair and five (29%) poor results respectively.
在1980年至1987年期间，17例患者因拇指腕掌关节骨关节炎手术并发症接受了翻修手术。12例接受了硅橡胶植入关节成形术，4例接受了大多角骨切除术，1例接受了关节融合术。失败的硅橡胶关节成形术通过取出植入物进行治疗，8例进行了软组织关节成形术，3例用另一种植入物翻修，1例进行了掌骨间植骨。大多角骨切除术后出现掌骨-舟状骨关节关节炎的患者，3例接受了硅橡胶植入关节成形术，1例接受了融合术。17例翻修手术中，9例（53%）效果良好，3例（18%）效果尚可，5例（29%）效果较差。
