在2023年,指基底关节关节炎
Lionel Athlani1, Yoan-Kim De Almeida2, Antoine Martins3
1Service de chirurgie de la main, chirurgie plastique et reconstructrice de l'appareil locomoteur, CHRU de Nancy, Nancy, France.
Orthopaedics & traumatology, surgery & research : OTSR
|November 24, 2023
概括
大指基底关节关节炎,在50岁以上的女性中很常见,引起疼痛和虚弱. 在非手术治疗失败至少六个月后,考虑进行手术选择.
科学领域:
- 整形外科 整形外科 整形外科
- 手术手术手术手术手术
- 类风湿病学 类风湿病学
背景情况:
- 大指 carpometacarpal (CMC) 或基底关节关节炎是手部骨关节炎的第二个最常见的部位.
- 主要影响50岁以上的女性,导致疼痛,握力疲软,硬和指变形.
研究的目的:
- 为了审查指基础关节关节炎的病理生理学和诊断.
- 提供当前治疗选择的概述,重点关注2023年手术策略.
主要方法:
- 关于指基本关节关节炎的现有文献的综述.
- 手术技术的分类,分为联合节约和联合牺牲的类别.
主要成果:
- 应该尽早开始保守治疗,以保护关节.
- 经过至少6个月的保守治疗失败后,建议进行手术.
- 关键的手术技术包括梯形切除术和植入关节塑造术.
结论:
- 使用保守方法的早期干预对于管理指基础关节关节炎至关重要.
- 手术治疗的决定取决于患者的因素和治疗目标.
- 当前的手术策略强调关节的保存或更换.
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