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对中手腕关节炎的2角,3角和4角关节的比较研究
Justine Ring1, Tod A Clark1, Jennifer L Giuffre1,2
1University of Manitoba, Winnipeg, Canada.
Hand (New York, N.Y.)
|June 3, 2023
概括
使用主固定的四角融合 (4CF) 和2或3角融合 (2CF/3CF) 显示了类似的功能结果和患者满意度. 2CF/3CF可能会减少在中手腕关节炎治疗中进行骨移植的需要.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 肌肉骨研究 研究
背景情况:
- 四角融合 (4CF) 是中手腕关节炎的标准治疗方法.
- 像二角融合 (2CF) 和三角融合 (3CF) 这样的替代程序存在,有限的数据表明潜在的运动效益范围,但并发症风险更高.
研究的目的:
- 为了比较4CF与2CF/3CF在治疗中手腕关节炎中的功能和患者报告的结果.
- 评估融合技术之间的并发症率,运动范围,强度和患者满意度的差异.
主要方法:
- 在2011-2021年期间接受4CF,3CF或2CF的成年患者的回顾性评估.
- 与非联合率,重新手术率,进展到手腕融合,运动范围,握力和患者报告结果 (疼痛,满意度,DASH分数) 的比较.
- 在2CF和3CF程序中使用了主固定.
主要成果:
- 在4CF和2CF/3CF组之间,在非工会率,进展到手腕融合或重新手术率方面没有发现显著差异.
- 术后的运动范围和握力在所有融合类型中都是可比的.
- 显著更多的4CF患者需要骨移植,而疼痛,满意度和DASH分数相似.
结论:
- 与先前的文献相反,2CF/3CF与主固定没有显示出比4CF更高的并发症率.
- 在融合技术之间,临床和患者报告的结果相似.
- 2CF和3CF提供了与4CF相似的结果,同时可能减少在中手腕融合中对自身骨移植的需求.
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