[指关节整形 (CMC关节) 骨关节炎:避免形切除术]
Marcio Aurelio Aita1, Giulia Cordeiro Aita2, Cleyton Rocha1
1Divisão de Ortopedia, Departamento de Cirurgia, Faculdade de Medicina do ABC, Santo André, SP, Brasil.
Revista brasileira de ortopedia
|December 17, 2025
概括
整体关节整形手术有效地恢复日常生活活动 (ADLs) 并提高60岁以上的患者的生活质量,在手术后12个月内患有III阶段CMC关节炎.
科学领域:
- 整形外科手术 整形外科手术
- 手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
- 类风湿病学 类风湿病学
背景情况:
- 第三阶段 carpometacarpal (CMC) 关节骨关节炎显著影响日常活动.
- 非手术治疗可能无法为晚期的CMC关节关节炎提供足够的缓解.
研究的目的:
- 为了评估全关节整形术对III阶段CMC关节性关节炎的临床结果.
- 评估患者报告的恢复日常生活活动 (ADLs),放射结果和握力.
主要方法:
- 34名患者 (年龄大于60岁) 的前性单中心研究,患者患有III期CMC关节骨关节炎.
- 使用的非水泥,金属对聚乙烯假体 (Maia).
- 排除标准包括精神疾病,酒和类风湿性关节炎.
主要成果:
- 25.1个月后,握力达到未受影响侧面的87.75%.
- 视觉模拟尺度 (VAS) 和QuickDASH得分的平均值为1,表明疼痛和残疾最小.
- 与未受影响的一侧相比,运动范围为81%;100%的X射线显示了X射线上的初始甲手腕沉降.
- 在6.9%的患者中出现并发症.
结论:
- 整体关节整形术是60岁以上的活跃患者的可行选择,他们患有III期CMC关节性关节炎.
- 该程序有助于保持ADL的独立性,并在第一年内改善生活质量.
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