目的 研究半钩骨腕掌关节面移植重建掌指关节缺损的临床疗效。方法 选取2014年5月—2018年11月收治的掌指关节缺损患者82例为研究对象,采取随机抽样法把患者分为对照组(40例)与观察组(42例),对照组采用传统的掌指关节成形手术进行治疗,而观察组采用半钩骨腕掌关节面移植重建手术进行治疗,比较两组患者的临床疗效、恢复时间以及治疗费用,同时比较两组患者术后并发症的发生率。结果 治疗后,观察组的临床总有效率(95.24%)高于对照组(77.50%),恢复时间快于对照组,治疗费用高于对照组;且观察组的术后并发症发生率(2.50%)低于对照组(17.50%),差异均有统计学意义(P<0.05)。结论 半钩骨腕掌关节面移植重建术用于治疗掌指关节缺损,能缩短患者的恢复时间,且术后并发症少,具有显著的临床疗效,值得推广应用。

Objective To study the clinical effect of reconstruction of metacarpophalangeal joint defect with semi-hook carpometacarpal joint surface transplantation.Methods Eighty-two patients with metacarpophalangeal joint defects admitted to our hospital from May 2014 to November 2018 were enrolled and randomly divided into control group (40 cases) and observation group (42 cases) by random number table.The control group was treated with traditional metacarpophalangeal arthroplasty, while the observation group was treated with semi-hook carpometacarpal joint surface reconstruction surgery.The clinical efficacy, recovery time, treatment cost, and incidence of postoperative complications of the two groups were compared.Results After treatment, the total clinical effective rate of the observation group (95.24%) was higher than that of the control group (77.50%), the recovery time was faster, the treatment cost was higher, and the postoperative complication rate (2.50% vs 17.50%) was lower (P<0.05).Conclusion Reconstruction of metacarpophalangeal joint transplantation with semi-hook carpometacarpal joint can accelerate recovery, and has fewer postoperative complications.Its significant clinical efficacy allows it to be popularized.