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首页> 外文期刊>The Journal of hand surgery, European volume >Long term outcome of trapeziectomy with ligament reconstruction/tendon interposition versus thumb basal joint prosthesis
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Long term outcome of trapeziectomy with ligament reconstruction/tendon interposition versus thumb basal joint prosthesis

机译：韧带重建/肌腱植入术进行梯形切除术的远期结果与拇指基底关节假体的比较

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摘要

Several surgical techniques to treat thumb basal joint arthritis have been described. In this study we compared the results of a cemented thumb basal joint with trapeziectomy with a ligament reconstruction and tendon interposition. A questionnaire was sent to all 519 patients, 322 (with 382 procedures) responded. No significant differences were found when comparing impairment, pain, patient satisfaction and disability. Given the fact that the superiority of a prosthesis cannot be proven and the cost of the implant is greater, we recommend the trapeziectomy with ligament reconstruction and tendon interposition as opposed to arthroplasty as the first choice in the treatment of basal joint osteoarthritis of the thumb.
机译：已经描述了几种治疗拇指基底关节关节炎的手术技术。在这项研究中，我们比较了固定的拇指基底关节与梯形切除术与韧带重建和腱插入的结果。向所有519例患者发送了问卷，其中322例（使用382例程序）得到了答复。比较损伤，疼痛，患者满意度和残疾时，没有发现显着差异。鉴于无法证明假体的优越性并且植入物的成本更高的事实，我们建议采用带韧带重建和腱插入的梯形切除术，而不是人工关节置换术，作为治疗拇指基底关节骨关节炎的首选。

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