POWER STAPLE FIXATION IN TRAPEZIOMETACARPAL ARTHRODESIS

被引：24
作者：
CAPUTO, RJ
BENNETT, JB
机构：
[1] Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX
来源：
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 05期
关键词：
D O I：
10.1016/0363-5023(93)90067-D
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：
Twenty-seven trapeziometacarpal arthrodeses were performed in 26 patients for basilar thumb joint arthritis utilizing power staple fixation. Short arm thumb spica cast immobilization was maintained for an average of 8 weeks, followed by part-time splintage for 6-12 weeks. Twenty patients were available for evaluation an average of 19 months after the operation. All of the patients were satisfied with the procedure. Thirteen had complete relief of pain, four had mild pain, and three had moderate pain after surgery. The two nonunions that occurred were in patients that refused postoperative casting and both had complete pain relief. There were no fixation-related complications in the remaining 18 patients that were casted postoperatively, and all developed a solid fusion. Power staple fixation in trapeziometacarpal arthrodesis has a 90% union rate with no long-term fixation related complications.
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页码：926 / 929
页数：4
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