Chirurgie de la main · 2010
[Early stages of trapezo-metacarpal joint arthritis and rotatory island transfer of the trapezo-metacarpal joint. DOOR procedure].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Roux J-L
Аннотация
INTRODUCTION: Trapezium dysplasia and trapezo-metacarpal joint instability induce TMC-joint arthritis. To correct these two factors, we propose a surgical technique associating a double oblique osteotomy of the trapezium and of the first metacarpal basis, and an island rotator transfer of the TMC-joint harvested in block on the radial pedicle. The articular block is rotated at 180° on the longitudinal axis of the thumb.
METHOD: Since 2000, 41 cases were performed on 38 patients (35 women, three men). Mean age was 47 (from 17 to 63). All the patients complained of a painful thumb and sometimes of instability. The mobility was preserved (Kapandji 9/3). The grasp was 43% of the opposite side. X-rays showed a TMC-joint instability in all the cases.
RESULTS: DOOR procedure was possible 41 times. With a mean follow-up of 65 months (from three months to ten years), 28 thumbs are pain-free, nine patients complain of barometric pain or pain after heavy works. Four thumbs were reoperated after failure of the procedure. Mobility decreased (Kapandji 8/2), the grasp increased to 100% of the opposite side. The joint was stabilized in all the cases. X-rays showed an osteolysis in three cases. The cartilage was worse in 19 cases, improved in five cases, stable in 14 cases.
DISCUSSION: DOOR procedure is a very demanding procedure but reliable. The correction of the dysplasia is constant. Denervation could explain the good clinical results in cases of joint narrowing.
CONCLUSION: DOOR procedure is a solution in cases of trapezium dysplasia associated with instability and early stages of osteoarthritis in young women.
METHOD: Since 2000, 41 cases were performed on 38 patients (35 women, three men). Mean age was 47 (from 17 to 63). All the patients complained of a painful thumb and sometimes of instability. The mobility was preserved (Kapandji 9/3). The grasp was 43% of the opposite side. X-rays showed a TMC-joint instability in all the cases.
RESULTS: DOOR procedure was possible 41 times. With a mean follow-up of 65 months (from three months to ten years), 28 thumbs are pain-free, nine patients complain of barometric pain or pain after heavy works. Four thumbs were reoperated after failure of the procedure. Mobility decreased (Kapandji 8/2), the grasp increased to 100% of the opposite side. The joint was stabilized in all the cases. X-rays showed an osteolysis in three cases. The cartilage was worse in 19 cases, improved in five cases, stable in 14 cases.
DISCUSSION: DOOR procedure is a very demanding procedure but reliable. The correction of the dysplasia is constant. Denervation could explain the good clinical results in cases of joint narrowing.
CONCLUSION: DOOR procedure is a solution in cases of trapezium dysplasia associated with instability and early stages of osteoarthritis in young women.