大多角骨切除桡侧腕屈肌腱悬吊固定拇长展肌腱填塞治疗
第1腕掌关节骨关节炎
李建伟;刘德群
【期刊名称】《实用手外科杂志》 【年(卷),期】2015(029)002
【摘要】Objective To introduce the surgical method and curative effectiveness of trapezium incision combined with flexor carpi radiali tendon suspension and thumb long exhibition tendons packing treating osteoarthritis of trapeziometacarpal joint. Methods From Dec 2010 to Nov 2013 eleven cases of osteoarthritis of trapeziometacarpal joint were treated by full excision of the trapezium, suspension fixation of the base of the first metacarpal by using half of the flexor carpi radialis (FCR) tendon and packing with half of the thumb long exhibition tendon through the skin incision from radial proximal of the first metacarpal to palm-radial side of carpal bone. The pain, the range of motion of joint and the grip strength were measured pre and postoperatively. Results Follow up was an average of 24 months, the 11 cases after operation included 4 excellent cases, 5 good cases, 2 medium and 0 poor cases. Clinical excellent and good rate was 81.82%, with a statistical significance of (27.27 ±10.09) Preoperatively to (87.27 ±6.84) posto-peratively.
Conclusion
The
patients
with
osteoarthritis
of
trapeziometacarpal joint of period II and above, who has obvious
大多角骨切除桡侧腕屈肌腱悬吊固定拇长展肌腱填塞治疗第1腕掌关
