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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >The use of the Artelon CMC Spacer for osteoarthritis of the basal joint of the thumb
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The use of the Artelon CMC Spacer for osteoarthritis of the basal joint of the thumb

机译：Artelon CMC垫片在拇指基底关节骨关节炎中的应用

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摘要

Introduction Favorable clinical outcomes have been reported with the Artelon CMC Spacer, however, several studies have documented complications with the device. Purpose of the study The purpose of this study is to review a single surgeon's experience with the Artelon CMC Spacer for the treatment of basal joint arthritis of the thumb. Methods Five thumbs in 6 patients with symptomatic osteoarthritis of the thumb carpometacarpal (CMC) joint were treated with the Artelon CMC Spacer. The mean age of the patients was 60.8 years old. Patients were followed for a mean of 39.3 months (6-63) post-operatively. Results Complications occurred in 4 of the 6 thumbs and half of the thumbs required at least one secondary operative procedure. A documented foreign-body reaction was present in 2 of the 6 thumbs. Discussion The Artelon CMC Spacer is an interposition material that acts as a biologic spacer for arthritic joints while maintaining mechanical strength. Conclusions Due to an unacceptably high complication rate, we no longer use the Artelon CMC Spacer for the management of basal joint arthritis of the thumb. Level of evidence 4.
机译：简介Artelon CMC垫片已报告了良好的临床效果，但是，一些研究已证明该装置存在并发症。研究的目的本研究的目的是回顾一名外科医生使用Artelon CMC垫片治疗拇指基底关节关节炎的经验。方法用Artelon CMC垫片治疗6例掌指关节骨性关节炎的5例拇指。患者的平均年龄为60.8岁。术后平均随访39.3个月（6-63）。结果并发症发生在6个拇指中的4个拇指中，而半个拇指至少需要进行一次二次手术。有记录的异物反应出现在6个拇指中的2个中。讨论Artelon CMC垫片是一种插入材料，可作为关节炎关节的生物垫片，同时保持机械强度。结论由于并发症的发生率高到无法接受，我们不再使用Artelon CMC垫片来治疗拇指基底关节关节炎。证据水平4。

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