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首页> 外文期刊>The Journal of hand surgery, European volume >Trapeziometacarpal narrow pseudarthrosis: A new surgical technique to treat thumb carpometacarpal joint arthritis
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Trapeziometacarpal narrow pseudarthrosis: A new surgical technique to treat thumb carpometacarpal joint arthritis

机译：梯骨腕掌狭窄假关节：一种治疗拇指腕掌关节关节炎的新手术技术

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摘要

We describe a technique that arose from the observation of the clinical outcome of failed arthrodeses of the thumb carpometacarpal joint. In these cases a pseudoarthrosis developed which, surprisingly, rarely lead to a poor clinical outcome. Thus we developed a simple technique which deliberately caused the formation of a narrow pseudoarthrosis in the carpometacarpal joint. We present a retrospective review of 248 consecutive patients treated for Eaton stages II and III osteoarthritis. We observed a statistically significant improvement in mean appositional and oppositional pinch strength, mean DASH score (63.8 pre-operatively to 10.5 at final follow-up), and the mean pain score (8.3 to 0.2). We conclude that trapeziometacarpal limited excision arthroplasty is a simple and reliable alternative to existing surgical techniques for treating Stage II or III thumb carpometacarpal joint arthritis.
机译：我们描述了一种技术，该技术源自对拇指腕掌关节失败的关节炎的临床结果的观察。在这些情况下，出现了假性关节炎，这令人惊讶地很少导致不良的临床结果。因此，我们开发了一种简单的技术，故意在腕掌关节中形成狭窄的假性关节炎。我们回顾性回顾了248例接受伊顿II期和III期骨关节炎治疗的患者。我们观察到平均并发和对立捏力，平均DASH评分（术前63.8分，至最终随访时为10.5分）和平均疼痛评分（8.3分至0.2分）均有统计学意义的改善。我们得出的结论是，梯形腕掌有限切除关节置换术是现有的简单或可靠的替代方法，可替代现有的手术技术来治疗II期或III期拇指腕掌关节关节炎。

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