首页> 外文期刊>The Journal of hand surgery, European volume >A comparison of trapeziectomy via anterior and posterior approaches.
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A comparison of trapeziectomy via anterior and posterior approaches.

机译:通过前入路和后入路进行梯形切除术的比较。

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摘要

Forty-three hands in 41 adults with osteoarthrosis of the trapeziometacarpal joint were allocated randomly to undergo a trapeziectomy through either an anterior approach or the posterior (dorsoradial) approach. Forty hands were available for review at a median of 33 months postoperatively. The demographic characteristics, severity of disease and pre-operative measurements of the two groups were indistinguishable. Trapeziectomy resulted in significantly improved objective and subjective function in both groups, but the anterior approach group had better outcomes for power, scar tenderness and satisfaction. Scar-related complications were three times more common in the posterior group. Trapeziectomy is a good method of treating osteoarthritis of the thumb base, but outcomes for the anterior approach are equally good or better than with the posterior.
机译:通过前入路或后入路(背radi后入路),随机分配41名患有梯形趾腕关节骨关节炎的成年人的43只手进行梯形切除术。术后中位33个月可检查四十只手。两组的人口统计学特征,疾病严重程度和术前测量均无差别。梯形切除术可显着改善两组的客观和主观功能,但前入路组在力量,疤痕压痛和满意度方面的效果更好。与疤痕相关的并发症在后组的发病率是三倍。梯形切除术是一种治疗拇指基部骨关节炎的好方法,但是前路手术的效果与后路手术一样好或更好。

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