METHODS: Forty-two patients who underwent static BLR (n = 24) or NBLR (n = 18) were included in this retrospective analysis. Preoperative, postoperative, and contralateral thumb measurements (clinical evaluation, radiographs, and subjective outcome questionnaires) were compared over a mean of 38 months of follow-up.
RESULTS: Average postoperative thumb metacarpophalangeal and interphalangeal joint ranges of motion were 2° to 54° and 0 to 71°, respectively, for BLR and 0° to 58° and 0° to 71°, respectively, for NBLR. Average grip and pinch strengths, relative to the unaffected hand, were 102% and 84% versus 103% and 89%, respectively. All patients demonstrated stability with a firm end point, compared with the unaffected thumb. The average Quick Disabilities of the Arm, Shoulder, and Hand score among all patients was 12 for the disability/symptom module, 0 for the sports module, and 17 for the work module. Stiffness was reported among four patients, and no patient sustained wound-related issues or other complications.
CONCLUSIONS: Nonbiological ligament reconstruction of the thumb ulnar collateral ligament generates short-term outcomes comparable with those of BLR, potentially allowing for expedited recovery and rehabilitation.
METHODS: Therapeutic IV.
方法:本回顾性分析纳入42例接受静态BLR(n=24)或NBLR(n=18)的患者。术前,术后,和对侧拇指测量(临床评估,射线照片,和主观结果问卷)在平均38个月的随访中进行比较。
结果:术后拇指掌指关节和指间关节的平均活动范围为2°至54°和0°至71°,分别,对于BLR和0°至58°和0°至71°,分别,对于NBLR。平均抓地力和捏合强度,相对于未受影响的手,分别为102%和84%,103%和89%,分别。所有患者均表现出稳定,终点明确,与未受影响的拇指相比。手臂的平均快速残疾,肩膀,所有患者的残疾/症状模块的手评分为12,0为运动模块,17为工作模块。据报道,四名患者僵硬,并且没有患者持续的伤口相关问题或其他并发症。
结论:拇指尺侧副韧带的非生物韧带重建可产生与BLR相当的短期结果,可能允许加快恢复和康复。
方法:治疗IV。