[手和手腕的关节整形]
Ali Ayache1, Christian K Spies2, Frank Unglaub3,4
1Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland. ali.ayache@vulpiusklinik.de.
关节炎通常会损害手的功能,但手术选择如间距器和假肢可以恢复关节功能. 对于指手指甲骨关节 (CMC) 关节炎,关节整形术显示出有希望的中期结果.
科学领域:
- 整形外科手术 整形外科手术
- 类风湿病学 类风湿病学
- 生物医学工程 生物医学工程
背景情况:
- 关节炎和自身免疫性关节炎显著影响手的功能.
- 保守治疗和关节保护手术是主要的治疗选择.
- 晚期的关节往往需要对近端间关节 (PIP) 和下关节 (MCP) 进行关节置换.
研究的目的:
- 审查目前治疗关节炎手和手腕关节的手术选择.
- 评估不同手指和指关节的假肢植入物的疗效.
- 讨论手腕整体关节整形术的指示和结果.
主要方法:
- 关于手和手腕关节炎的手术治疗方法的当前文献的综述.
- 对间距器,表面置换假肢和指CMC关节的关节整形术的结果分析.
- 评估手腕整体关节整形术的适应症.
主要成果:
- 在先进的病例中,间隔器是PIP和MCP关节置换的黄金标准.
- 表面置换假肢为手指关节提供了改进的生物机械修复.
- 指CMC关节的关节整形手术在现代植入物下显示出优异的中期结果.
- 目前,全腕关节整形术仅在特殊情况下才适用.
结论:
- 各种手术干预有效地管理手和手腕关节炎,改善功能.
- 植入物技术的进步正在改善关节置换手术的结果.
- 仔细的患者选择和植入物选择对于手和手腕关节炎的成功手术治疗至关重要.
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