Weiland A J, Berner S H, Hotchkiss R N, McCormack R R, Gerwin M
Division of Hand Surgery, Hospital for Special Surgery, New York, NY 10021, USA.
J Hand Surg Am. 1997 Jul;22(4):585-91. doi: 10.1016/S0363-5023(97)80113-X.
Thirty-six consecutive patients with 37 complete tears of the ulnar collateral ligament of the thumb metacarpophalangeal (MP) joint were treated with primary repair using a miniature intraosseous suture anchor. Thirty patients were evaluated by clinical examination or by questionnaire at an average of 11 months after repair. Loss of interphalangeal joint motion averaged 15 degrees on the involved side versus the other side, while loss of MP joint motion averaged 10 degrees. There was no significant difference on stress testing measurements between repaired and nonrepaired thumbs. There were no instances of nerve injury, infection, device failure, or reoperation. The authors concluded that this is a safe and effective method for repair of complete tears of the ulnar collateral ligament of the thumb MP joint.
连续36例拇指掌指（MP）关节尺侧副韧带完全撕裂的患者接受了使用微型骨内缝合锚钉的一期修复治疗。30例患者在修复后平均11个月时接受了临床检查或问卷调查。患侧指间关节活动度丧失平均比另一侧多15度，而MP关节活动度丧失平均多10度。修复和未修复拇指的应力测试测量结果无显著差异。没有神经损伤、感染、器械故障或再次手术的情况。作者得出结论，这是一种修复拇指MP关节尺侧副韧带完全撕裂的安全有效的方法。
