Durham J W, Khuri S, Kim M H
Division of Hand and Microsurgery, University of Iowa Hospitals and Clinics, Iowa City.
J Hand Surg Am. 1993 Mar;18(2):232-7. doi: 10.1016/0363-5023(93)90353-5.
Eighteen patients were treated surgically for injuries to the radial collateral ligament of the thumb metacarpophalangeal joint. Late repairs were performed in 12 and immediate repairs in 6. At follow-up after a mean of 6 years, 94% of the patients were completely satisfied with the results. No patients had significant pain in their thumbs, and none were limited in work or avocational activities. A stable repair was maintained in all patients. There was no difference in grip or pinch strengths between the immediate and late groups. Loss of thumb motion in the late group (mean = 77% of normal) was slightly more than that in the immediate group (mean = 89% of normal). Late repair gives equally good subjective results and causes a slightly greater loss of thumb motion than immediate repair.
18例患者因拇指掌指关节桡侧副韧带损伤接受了手术治疗。其中12例进行了二期修复，6例进行了一期修复。平均随访6年后，94%的患者对结果完全满意。所有患者的拇指均无明显疼痛，工作或业余活动均未受限。所有患者的修复均保持稳定。一期和二期修复组之间的握力和捏力没有差异。二期修复组拇指活动度的丧失（平均为正常的77%）略高于一期修复组（平均为正常的89%）。二期修复的主观效果同样良好，但导致的拇指活动度丧失比一期修复略大。
