手术治疗根性关节病:与 Kuhns 技术相比,斜方肌切除关节成形术与肌腱置换术的区别。

Q3 Medicine Revista Brasileira de Ortopedia Pub Date : 2024-09-04 eCollection Date: 2024-08-01 DOI:10.1055/s-0044-1788289
Guilherme Henrique Teixeira Reis, Willker Galvão de Carvalho, Mauricio Foster Rodrigues, Jorge Raduan Neto, Aldo Okamura, João Carlos Belloti
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引用次数: 0

摘要

目的 本研究旨在评估和比较两种手术方法对严重 III 级和 IV 级根性关节病患者的临床和功能效果。方法 我们对 39 名接受了两种手术方法治疗根性关节病的患者进行了评估:使用 Kuhns 技术的梯形切除术或肌腱插植术,随访期至少 6 个月。主要结果评估采用特定的 "梯形掌关节症状和残疾(TASD)"问卷,次要结果评估采用缩短版的 "手臂、肩部和手部残疾(QuickDASH)"问卷和视觉模拟量表(VAS)。结果 两组间的 TASD、QuickDASH 和 VAS 结果差异无统计学意义,两种技术均显示出良好的功能和疼痛效果。没有并发症要求采用新的手术方法。我们发现 TASD 和 QuickDASH 问卷得分之间存在正相关,这表明它们在评估根性关节病患者的功能和残疾情况方面非常有效。结论 采用 Kuhns 技术和肌腱插置术进行梯形关节切除术证明对根性关节病的手术治疗有效。两种技术在功能结果方面没有明显差异。
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Surgical Rhizarthrosis Treatment: Trapezius Resection Arthroplasty Associated with Tendon Interposition versus the Kuhns Technique.

Objective  This study aimed to evaluate and compare the clinical and functional outcomes of two surgical procedures performed in patients with severe grade III and IV rhizarthrosis. Methods  We evaluated 39 patients who underwent two surgical techniques for rhizarthrosis treatment: trapeziectomy using the Kuhns technique or tendon interposition, with a minimum follow-up period of 6 months. The primary outcome assessment used the specific Trapeziometacarpal Arthrosis Symptoms and Disability (TASD) questionnaire, and the secondary outcome evaluation employed the shortened version of the Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire and the visual analog scale (VAS). Results  There was no statistically significant difference between groups in the TASD, QuickDASH, and VAS results, and both techniques demonstrated good functional and pain outcomes. No complication required a new surgical approach. We found a positive correlation between TASD and QuickDASH questionnaire scores, suggesting their effectiveness in assessing functionality and disability in subjects with rhizarthrosis. Conclusion  Trapeziectomy using the Kuhns technique and tendon interposition proved effective in the surgical treatment of rhizarthrosis. There was no significant difference between the techniques concerning functional outcomes.

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来源期刊
CiteScore
1.00
自引率
0.00%
发文量
142
审稿时长
21 weeks
期刊最新文献
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