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跖趾关节病的外科治疗:过去10年的系统评价

SURGICAL TREATMENT FOR RHIZARTHROSIS: A SYSTEMATIC REVIEW OF THE LAST 10 YEARS.

作者信息

Saheb Ricardo Lucca Cabarite, Vaz Breno Alves DE Sousa, Soeira Thabata Pasquini, Shimaoka Filipe Jun, Herrero Carlos Fernando Pereira DA Silva, Mazzer Nilton

机构信息

. Universidade de São Paulo (USP), Faculdade de Medicina de Ribeirão, Department of Orthopedics and Anesthesiology, Ribeirão Preto, SP, Brasil.

出版信息

Acta Ortop Bras. 2022 Jan 28;30(1):e246704. doi: 10.1590/1413-785220223001e246704. eCollection 2022.

Abstract

INTRODUCTION

Comparison of different surgical techniques to treat patients with rhizarthrosis or carpometacarpal osteoarthritis of the thumb.

MATERIALS AND METHODS

A systematic review was conducted using three electronic databases. Randomized, controlled trials in patients who underwent surgery for the treatment of rhizarthrosis were included. The literature review followed the PRISMA protocol.

RESULTS

A total of 15 articles involving a total population of 958 patients were selected. Seven different surgical techniques were compared.

CONCLUSIONS

We conclude that no procedure is superior to another in terms of pain, physical function, overall patient assessment, range of motion, or strength. Outcome measurements should be standardized to enable better comparison between surgical techniques.

摘要

引言

比较治疗拇指掌指关节骨关节炎或拇指腕掌关节骨关节炎患者的不同手术技术。

材料与方法

使用三个电子数据库进行系统评价。纳入接受手术治疗拇指掌指关节骨关节炎患者的随机对照试验。文献综述遵循PRISMA方案。

结果

共选择15篇文章,涉及958例患者。比较了七种不同的手术技术。

结论

我们得出结论,在疼痛、身体功能、患者总体评估、活动范围或力量方面,没有一种手术方法优于另一种。应标准化结果测量,以便更好地比较手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86e5/8979356/0c17399bc495/1809-4406-aob-30-01-e246704-gf01.jpg

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