第一腕掌关节置换的研究进展  

Research Progress of First Carpometacarpal Joint Replacement

作　　者：唐博 肖海军 李丛彬 TANG Bo;XIAO Haijun;LI Congbin(Department of Orthopedics,Fengxian Hospital Affiliated to Southern Medical University,Shanghai,201499 China;School of Medicine,Anhui University of Science and Technology,Huainan,Anhui Province,232001 China)

机构地区：[1]南方医科大学附属奉贤医院骨科,上海201499 [2]安徽理工大学医学院,安徽淮南232001

出　　处：《世界复合医学》2023年第4期180-183,195,共5页World Journal of Complex Medicine

基　　金：上海市奉贤区卫生健康委员会(fxlczlzx-a-202103)。

摘　　要：第一腕掌关节置换作为晚期第一腕掌关节炎的治疗手段已经有50余年的历史,因其术后可立即消除疼痛、保持拇腕掌骨的稳定性、提高关节的灵活性,并改善拇指力量等特点,引起大家的广泛关注,但并发症和假体失效情况较为普遍。然而,随着对第一腕掌关节炎的了解加深和假体设计不断更新,最近的研究显示,第一腕掌关节假体的使用寿命比以往明显提高。本文综述了近年来第一腕掌关节置换中解剖、生物力学、假体材料、手术技术、围术期评估、术后并发症等方面的研究进展。First carpometacarpal joint replacement has been used as a treatment for late first carpometacarpal osteoarthritis for more than 50 years.Because it can immediately eliminate pain after operation,maintain the stability of the thumb,wrist and metacarpal bone,improve the flexibility of the joint,and improve the strength of the thumb,it has attracted widespread attention,but stituation of complications and prosthetic failure are more common.However,with the deepening understanding of the first carpometacarpal joint and the continuous improvement of prosthesis design,recent studies have shown that the service life of the first carpometacarpal joint prosthesis is significantly improved than before.This article reviews the research progress in anatomy,biomechanics,prosthetic materials,surgical techniques,perioperative evaluation,and postoperative complications in the first carpometacarpal joint replacement in recent years.

关 键 词：第一腕掌关节置换 第一腕掌关节炎 关节假体 生物力学 术后并发症 发展现状 

分 类 号：R4[医药卫生—临床医学]