泛斜骨关节炎的斜骨手骨假体的功能效果。

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2025-02-01 DOI:10.1016/j.hansur.2024.102025

Hubert Caignol , Anaïs Delgove , Marie-Laure Abi-Chahla , Clotilde Strugarek , Alison Delesque , Hugo Pelet

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引用次数: 0

摘要

梯形掌骨骨关节炎常与舟状梯形骨关节炎相关。放射性泛斜骨关节炎患者仅在斜骨掌骨间室出现症状，使用斜骨腕关节假体治疗的长期结果尚未见报道。这项回顾性多中心、多操作者研究的主要目的是评估无症状的舟斜椎体受累的x线平片泛斜骨关节炎患者采用梯形腕关节置换术缓解疼痛的有效性。在平均58个月的随访中，由一名独立操作者对67例患者的70个拇指进行评估。根据Crosby评分，84%的患者舟状梯形骨关节炎严重程度为II期，16%的患者为III期。视觉模拟评分的平均疼痛评分由术前的7.7分降至最后随访时的1.3分。最后随访没有再手术。这些结果表明，在无症状累及舟状斜方-梯形关节的放射学泛斜骨关节炎患者中，斜方-手骨假体具有良好的中期临床效果。证据水平：iii。

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Functional outcome of trapeziometacarpal prostheses in pan-trapezial osteoarthritis

Trapeziometacarpal osteoarthritis is frequently associated with scaphotrapeziotrapezoid osteoarthritis. Long-term outcomes have not been reported for trapeziometacarpal protheses in patients with radiological pan-trapezial osteoarthritis that is symptomatic only in the trapeziometacarpal compartment. The primary objective of this retrospective multicenter multi-operator study was to evaluate the effectiveness of trapeziometacarpal arthroplasty for pain relief in patients with radiographic pan-trapezial osteoarthritis without symptomatic scaphotrapeziotrapezoid involvement. A total of 70 thumbs in 67 patients were evaluated by a single independent operator at a mean follow-up of 58 months. Scaphotrapeziotrapezoid osteoarthritis severity on Crosby score was stage II in 84% of patients and stage III in 16%. Mean pain score on visual analog scale decreased from 7.7 preoperatively to 1.3 at last follow-up. There were no reoperations at last follow up. These results suggest that, in patients with radiological pan-trapezial osteoarthritis without symptomatic involvement of the scaphotrapeziotrapezoid joint, a trapeziometacarpal prothesis yields good medium-term clinical outcomes.

Level of evidence

III.

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.