Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics105310.21823/2311-2905-2018-24-3-135-144ReviewsОбзорыReviewsSURGICAL TREATMENT OF TRAPEZIOMETACARPAL OSTEOARTHRITIS (REVIEW)ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ ОСТЕОАРТРОЗА СЕДЛОВИДНОГО СУСТАВА (ОБЗОР ЛИТЕРАТУРЫ)RodomanovaL. A.РодомановаЛ. А.
Russian Federation

Lyubov’ A. Rodomanova — Dr. Sci. (Med.), professor, head of Hand Surgery and Microsurgery Scientific Department; professor of Department of Traumatology and Orthopedics.

8, ul. Akad. Baykova, 195427, St. Petersburg; 6-8,ul. L. Tolstoy, 197022, St. Petersburg.

Родоманова Любовь Анатольевна — д-р мед. наук, профессор, заведующая научным отделением хирургии кисти с микрохирургической техникой; профессор кафедры травматологии и ортопедии.

 

Ул. Акад. Байкова, д. 8, 195427, Санкт-Петербург; Ул. Льва Толстого, д. 6-8, 197022 Санкт-Петербург.OrlovaI. V.ОрловаИ. В.
Russian Federation

Irina V. Orlova — clinical intern.

8, ul. Akad. Baykova, 195427, St. Petersburg.

Орлова Ирина Владиславовна — клинический ординатор.

Ул. Акад. Байкова, д. 8, 195427, Санкт-Петербург.

Vreden Russian Research Institute of Traumatology and OrthopedicsФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздрава РоссииPavlov First Saint Petersburg State Medical University.ГБОУ ВПО «Первый Санкт-Петербургский государственный медицинский университет им. И.П. Павлова» Минздрава России.Vreden Russian Research Institute of Traumatology and Orthopedics.ФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздрава России.071020182431351440710201807102018https://journal.rniito.org/jour/article/view/1053

 The sellar joint plays a key role in wrist function ensuring thumb contraposition when gripping. Lesions of sellar joint are accompanied by pain syndrome and deformity of the first metacarpal which substantially affects life quality of the patients. The authors carried the analysis of literature dedicated to surgical treatment of degenerative lesions of trapeziometacarpal joint. The present review describes features of joint anatomy and biomechanics, reports the key factors contributing to disease progression, covers various approaches and criteria for selection of surgical options for reconstruction of sellar joint.

 

 Седловидный (первый запястно-пястный) сустав играет важнейшую роль в функции кисти, обеспечивая противопоставление первого пальца при схвате. Поражение этого сустава сопровождается болевым синдро-мом и деформацией первого луча, что в значительной степени снижает качество жизни пациента. 

Проведен анализ литературы, посвященной хирургическому лечению дегенеративных поражений седло-видного сустава. В обзоре представлены особенности анатомии и биомеханики сустава, выявлены основные факторы, способствующие развитию остеоартроза, описаны различные подходы и критерии выбора методов хирургической реконструкции седловидного суставаsellar jointtrapeziometacarpal jointrhizarthrosisседловидный суставпервый запястно-пястный суставризартроз1. Михалкевич Д.И. Ризартроз кисти. Медицинский журнал. 2017;(3):21-26.2. Bettinger P.C., Berger A.B. Functional ligamentous anatomy of the trapezium and trapeziometacarpal joint (gross and arthroscopic). Hand Clinics. 2001; 17(2):151-168.3. Gay A.M., Cerlier A., Iniesta A., Legré R. Surgery for trapeziometacarpal osteoarthritis. Hand Surg Rehabil. 2016; 35(4):238-249. DOI: 10.1016/j.hansur.2016.06.002.4. Barron O.A, Catalano L.W. Green’s Operative Hand Surgery. 6th ed. Churchill Livingstone. 2011. Ch. 13. P. 407-426.5. Капанджи А.И. 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