掌指关节置换术治疗类风湿关节炎  

Treatment of rheumatoid arthritis with metacarpophalangeal Joint replacement

作　　者：庄超[1] 王黎明[1] 桂鉴超[1] 徐燕[1] 

机构地区：[1]南京医科大学附属南京第一医院骨科,210006

出　　处：《中华手外科杂志》2008年第3期157-159,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨应用掌指关节置换术治疗类风湿关节炎的方法和临床疗效。方法2002年1月-2007年1月，对8例13指类风湿关节炎的患者，采用Swanson假体行掌指关节置换术。结果术后伤口均Ⅰ期愈合，随访时间为9—24个月，平均15．8个月。掌指关节置换后按李庆泰等的疗效评定标准评价：优9指，良4指。结论掌指关节置换术治疗类风湿关节炎疗效可靠，是一种较好的治疗方法。Objective To investigate the technique and clinical outcome of treating rheumatoid arthritis with metacarpophalangeal joint replacement. Methods From January 2002 to January 2007, 13 digits in 8 patients with rheumatoid arthritis were treated by metacarpophalangeal joint replacement using Swenson prosthesis. Joint range of motion and postoperative pain in all cases were measured to evaluate the treatment out. Results Primary wound healing was achieved in all cases. The followed up time was from 9 months to 24 months with an average of 15.8 months. According to assessment standard described by Li, treatment outcome was graded as excellent in 9 fingers and good in 4 fingers. Conclusion Metacarpophaiangeal joint replacement is an effective method to treat rheumatoid arthritis.

关 键 词：关节炎 类风湿 掌指关节 关节成形术 置换 

分 类 号：R686[医药卫生—骨科学]