PDF(Pubmed)
Abstract：
Background Metacarpophalangeal (MCP) joint arthroscopy has been available for many years but sparingly used in typical orthopaedic and hand surgery daily practice. Difficult problems are solved with this technique in a practical and minimally invasive manner. This study describes our diverse experience and broad clinical applications of MCP arthroscopy as well as clinical results. It aims to highlight this technique as one of the tools for a fully trained hand surgeon, avoiding open management and its high complications rates. Methods We present a retrospective clinical series of 79 patients treated with MCP arthroscopy with a mean age of 44 years old. Demographics, surgery, and clinical outcomes were collected in standardized clinical assessments. Results We divided the sample into 20 articular metacarpal or proximal phalanx acute fracture with full functional fist and range of motion at 60 days after surgery. Regarding collateral tears, 12 were classified as acute and 47 as chronic. Two patients were reoperated for further gain range of motion. Conclusions We present an up-to-date publication of our experience in MCP arthroscopy and its applications, with a low complication rate and excellent clinical results. We encourage hand surgeons to incorporate this technique in MCP joint challenging issues. Level of Evidence IV.
摘要：
背景掌指关节（MCP）关节镜已经使用了很多年，但很少用于典型的骨科和手部手术的日常实践中。该技术以实用且微创的方式解决了难题。这项研究描述了我们的不同经验和MCP关节镜的广泛临床应用以及临床结果。它旨在强调这种技术是训练有素的手外科医生的工具之一，避免开放管理及其高并发症率。方法我们提供了79例接受MCP关节镜治疗的患者的回顾性临床系列，平均年龄为44岁。人口统计,手术,和临床结局收集在标准化临床评估中.结果我们将样本分为20个关节掌骨或近端指骨急性骨折，术后60天具有全功能拳头和活动范围。关于附带的眼泪，12分为急性，47分为慢性。两名患者再次手术以获得进一步的运动范围。结论我们介绍了我们在MCP关节镜及其应用方面的最新经验，并发症发生率低，临床效果好。我们鼓励手外科医师将此技术纳入MCP关节挑战性问题。第四级证据。
