Diao E, Eaton R G
Department of Surgery, St. Luke's Roosevelt Hospital Center, New York, N.Y.
J Hand Surg Am. 1993 May;18(3):395-402. doi: 10.1016/0363-5023(93)90081-D.
The complete excision of scarred proximal interphalangeal collateral ligaments as the cornerstone of surgical treatment for proximal interphalangeal joint contractures was evaluated. Supplemental palmar plate distal release, extensor tenolysis, and flexor sheath release were performed as needed. Sixteen patients with primary proximal interphalangeal joint contractures treated by this method were reviewed with the use of preoperative data obtained from chart review and postoperative data from direct patient examination. The average range of motion increased from 38 degrees to 78 degrees. No patients had instability of the proximal interphalangeal joints on manual testing and x-ray examination. This radical surgical approach to contracted proximal interphalangeal joints is justified by the improved range of motion without instability.
评估了将瘢痕化的近端指间侧副韧带完全切除作为近端指间关节挛缩手术治疗基石的情况。根据需要进行补充性掌板远端松解、伸肌腱松解和屈肌腱鞘松解。采用从病历回顾中获取的术前数据以及对患者直接检查得到的术后数据，对16例采用该方法治疗原发性近端指间关节挛缩的患者进行了回顾。平均活动范围从38度增加到78度。在手法检查和X线检查中，没有患者出现近端指间关节不稳定。这种针对近端指间关节挛缩的根治性手术方法因活动范围改善且无不稳定而合理。
