自体肋软骨膜移植关节成形术重建掌指关节功能

Arthroplasty with transplantation of autogenous rib perichondrium for reconstruction of metacarpophalangeal joint

目的 评价自体肋软骨膜移植关节成形术在重建掌指关节功能中的作用。方法 1982年至 2 0 0 0年 ,采用自体肋软骨膜移植关节成形术治疗掌指关节功能障碍 15例。就疼痛、活动范围及稳定性进行术前、后的对比性评估。结果 13例得到随访 ,平均随访时间为 4年 ;2例失访。术后掌指关节疼痛消失。主动屈伸范围为 40°～ 82° ,平均为 5 8.5° ;较术前增加 3 5°～ 5 8° ,平均为 46°。 13例患者均已恢复原工作。结论 自体肋软骨膜移植关节成形术是重建掌指关节功能有效而可行的治疗方法之一。

Objective To evaluate the outcome of arthroplasty with transplantation of autogenous rib perichondrium for reconstruction of the metacarpophalangeal joint.Methods From 1982 to 2000, 15 patients undergoing arthroplasty with autogenous rib perichondrium were analyzed retrospectively. The pain,range of motion and stability of the joint was assessed. Results Thirteen patients were followed up with 2 in loss.The average follow up was 4 years. The pain at the metacarpophalangeal joint disappeared after operation. The active range of motion in metacarpophalangeal joint was 40°～ 82°(average 58.5°),with an average increase of 46°(35°～ 58°) when compared with those before operation. The patients all went to the original job. Conclusion The arthroplasty with autogenous rib perichondrium transplantation is an efficient and practical method for reconstruction of the metarcarpophalangeal joint.