Extension osteotomy of the metacarpal I and ligamentoplasty of the trapeziometacarpal joint for the treatment of early-stage osteoarthritis and instability of the trapeziometacarpal joint

被引：2

作者：

Honigmann, Philipp ^{[1
,2
,3
]}

Keller, Marco ^{[1
,2
,4
]}

Devaux-Voumard, Noemie ^{[1
]}

Coppo, Enrico ^{[1
,2
]}

Sutter, Damian ^{[1
,5
]}

机构：

[1] Kantonsspital Baselland, Dept Orthopaed Surg & Traumatol, Hand & Peripheral Nerve Surg, Bruderholz, Switzerland

[2] Univ Basel, Dept Biomed Engn, Med Addit Mfg Res Grp MAM, Allschwil, Switzerland

[3] Univ Amsterdam, Dept Biomed Engn & Phys, Amsterdam UMC, Amsterdam Movement Sci, Amsterdam, Netherlands

[4] Univ Zurich, Univ Hosp Zurich, Div Plast Surg & Hand Surg, Zurich, Switzerland

[5] Univ Bern, Univ Hosp, Dept Plast & Hand Surg, Inselspital, Bern, Switzerland

来源：

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2023年 / 143卷 / 09期

关键词：

(Wilson) extension osteotomy; Trapeziometacarpal joint; First carpometacarpal joint; Saddle joint; Ligamentoplasty; Osteoarthritis; DISTRACTION ARTHROPLASTY; CARPOMETACARPAL JOINT; 1ST METACARPAL; RECONSTRUCTION; PAINFUL; STABILITY; ARTHRITIS;

D O I：

10.1007/s00402-023-04883-1

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Osteoarthritis (OA) is a common disease of the first carpo-metacarpal (CMC I) joint. Biomechanical factors promoting OA are the shape of the CMC I-joint, being a biconcave-convex saddle joint with high mobility and the increased instability caused by joint space narrowing, ligamentous laxity, and direction of force transmission of the abductor pollicis longus (APL) tendon during adduction. The closing wedge osteotomy of the base of the first metacarpal is joint preserving treatment option. We combine this closing wedge osteotomy with a ligamentoplasty to stabilize the joint. In this manuscript, we provide a detailed description of the indication, discuss biomechanical aspects and the surgical technique in detail.

引用

页码：6011 / 6018

页数：8

共 23 条

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