Holmberg J, Lundborg G
Department of Hand Surgery, Malmö University Hospital, Lund University, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 1996 Mar;30(1):67-70. doi: 10.3109/02844319609072407.
A radial, 30 degrees wedge osteotomy was used for treatment of osteoarthrosis of the trapeziometacarpal joint in 18 patients, 16 women and two men, mean age of 61 years (range 38-74). Six of them had involvement of the scaphotrapezial joint. After a mean follow-up of 8.5 months (range 2-21) one of the patients were completely satisfied with the result of the operation, seven were quite satisfied, and two considered themselves unchanged. None was made worse. Of the 12 patients who did not have involvement of the scaphotrapezial joint nine were completely satisfied and three quite satisfied. Grip strength on the operated side was 75.5% (32%-100%), and pulp pinch was 74.5% (30%-100%) of that in the contralateral one. The mobility of the thumb was influenced little by the operation. Wedge osteotomy of the first metacarpal is a simple and safe way of relieving pain, particularly in the early stages of osteoarthrosis of the basal thumb joint.
对18例患者（16名女性和2名男性，平均年龄61岁，范围38 - 74岁）采用桡侧30度楔形截骨术治疗大多角骨-第一掌骨关节骨关节炎。其中6例伴有舟大多角骨关节受累。平均随访8.5个月（范围2 - 21个月）后，1例患者对手术结果完全满意，7例相当满意，2例认为自身情况无变化。无一例情况恶化。在12例未累及舟大多角骨关节的患者中，9例完全满意，3例相当满意。患侧握力为对侧的75.5%（32% - 100%），指尖捏力为对侧的74.5%（30% - 100%）。手术对拇指活动度影响较小。第一掌骨楔形截骨术是一种简单、安全的缓解疼痛的方法，尤其适用于拇指基底关节骨关节炎的早期阶段。
