拇指手掌骨稳定与背囊修复与内支架增强。

Q3 Medicine

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI:10.1097/BTH.0000000000000429

Steven C Kronlage, Edward Alex Whitaker

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引用次数: 0

摘要

第一腕掌关节不稳的最佳手术治疗仍然是一个有争议的话题。关于拇指腕掌骨稳定性起源于背桡韧带复合体的共识已将重建技术转移到稳定背侧。我们描述了一种背部稳定技术与内部支撑增强背桡韧带复合体。在2019年至2022年期间，一名接受过奖学金培训的手外科医生治疗了10名女性，平均年龄34岁(范围从21岁到52岁)和1名男性，年龄34岁。患者平均随访时间为2年。患者满意度高。需要进一步的试验来确定该手术是否会预防或延迟拇指腕掌关节病的出现。

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Thumb Carpometacarpal Stabilization With a Dorsal Capsule Repair Augmented With an Internal Brace.

Optimal surgical treatment of first carpometacarpal joint instability remains a subject of debate. Consensus on thumb carpometacarpal stability originating with the dorsoradial ligamentous complex has shifted reconstruction techniques towards stabilization dorsally. We describe a dorsal stabilization technique with internal brace augmentation of the dorsoradial ligamentous complex. A single fellowship-trained hand surgeon treated 10 women, average age 34 years (range, 21 to 52 y) and 1 man, age 34 years, between 2019 and 2022. Average patient follow-up was 2 years. Patient satisfaction was high. Further trials are needed to determine whether the procedure will prevent or delay the presentation of thumb carpometacarpal arthrosis.

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来源期刊

Techniques in Hand and Upper Extremity Surgery Medicine-Surgery

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Techniques in Hand & Upper Extremity Surgery presents authoritative, practical information on today"s advances in hand and upper extremity surgery. It features articles by leading experts on the latest surgical techniques, the newest equipment, and progress in therapies for rehabilitation. The primary focus of the journal is hand surgery, but articles on the wrist, elbow, and shoulder are also included. Major areas covered include arthroscopy, microvascular surgery, plastic surgery, congenital anomalies, tendon and nerve disorders, trauma, and work-related injuries.