肌腱间置关节置换术治疗拇指斜跖关节退行性关节炎

IF 2.1 2区医学 Q2 ORTHOPEDICS

Journal of Hand Surgery-American Volume Pub Date : 2025-03-01 DOI:10.1016/j.jhsa.2025.01.018

Richard G. Eaton M.D. , Steven Z. Glickel M.D. , J. William Littler M.D.

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引用次数: 0

摘要

拇指的掌方关节的关节是一个可预测的后遗症韧带松弛。本文描述了一种利用桡腕屈肌腱重建韧带的肌腱间位关节置换术治疗疼痛的拇指斜方腕关节的新技术。21例患者行25次手术；14名女性，7名男性。所有患者均表现为顽固性疼痛、肌萎和不同程度的基底关节松弛。夹紧强度减弱。随访平均为37个半月。术后91.7%的患者获得良至优效果，56%的患者完全无疼痛。手术侧和未手术侧的活动范围、握力和捏力相等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Tendon interposition arthroplasty for degenerative arthritis of the trapeziometacarpal joint of the thumb

Arthrosis of the trapeziometacarpal joint of the thumb is a predictable sequelae of ligament laxity. A new technique of tendon interposition arthroplasty with ligament reconstruction using the flexor carpi radialis tendon for a painful arthritic trapeziometacarpal joint of the thumb is described. Twenty-one patients had 25 operative procedures; 14 were women and seven were men. All of the patients presented with intractable pain, crepitus, and varying degrees of laxity of the basal joint. Pinch strength was diminished. Follow-up averaged 37 1/2 months. After surgery, 91.7% of patients had good to excellent results, and 56% were completely pain free. Range of motion and grip and pinch strengths were equal on the operated and unoperated sides.

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来源期刊

Journal of Hand Surgery-American Volume 医学-外科

CiteScore

3.20

自引率

10.50%

发文量

402

审稿时长

12 weeks

期刊介绍： The Journal of Hand Surgery publishes original, peer-reviewed articles related to the pathophysiology, diagnosis, and treatment of diseases and conditions of the upper extremity; these include both clinical and basic science studies, along with case reports. Special features include Review Articles (including Current Concepts and The Hand Surgery Landscape), Reviews of Books and Media, and Letters to the Editor.