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在亚洲人群中使用触摸®假肢的形甲手腕关节关节整形术:一项回顾性研究
Wang Qiao1, Rebecca Lim Qian Ru1, Wee Leon Lam1
1Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore.
The Journal of hand surgery, European volume
|February 25, 2026
概括
在亚洲患者中,使用Touch®假肢的形甲手腕关节 (TMJ) 关节整形术显示出良好的结果. 由于形体尺寸较小,建议谨慎选择患者,这表明需要量身定制的植入物设计.
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
- 生物材料和植入物
背景情况:
- 梯形甲手腕关节 (TMJ) 关节炎的治疗越来越多地使用关节塑性术.
- 第四代植入物Touch®假肢在欧洲取得了良好的中期成果.
- 这项研究评估了Touch®假肢在亚洲的背景下,这是自2020年以来的新应用.
研究的目的:
- 在亚洲人群中使用Touch®假肢评估TMJ关节整形术的临床结果.
- 在新的地理和人口环境中评估这种特殊植入物的安全性和有效性.
主要方法:
- 用Touch®假肢进行TMJ关节整形手术的患者的回顾性研究 (2020年8月 - 2024年9月).
- 评估临床结果,包括疼痛,运动范围,力量,职业状态,QuickDASH,EQ-5D-5L和患者满意度.
- 分析植入物尺寸选择和遇到的任何重大并发症.
主要成果:
- 疼痛得分显著改善,从7到0.
- 所有患者都在平均5周内恢复了原来的职业.
- 观察到低的术后QuickDASH (4.5) 和高的EQ-5D-5L指数 (1). 发生了四种主要并发症,包括两种植入物损失.
- 大多数情况下使用9毫米杯和较小的茎 (XS,T0),由于狭窄的梯形解剖学而放弃了一项程序.
结论:
- 使用Touch®假肢的TMJ关节整形手术对于亚洲患者的TMJ骨关节炎是安全有效的.
- 对患者选择和手术技术的注意是至关重要的,因为这个群体的梯形尺寸较小.
- 未来的研究应该专注于开发适合亚洲患者的小型植入物大小.
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The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...