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使用矫形器对先天性屈曲挛缩指进行保守治疗:一项回顾性队列研究

Conservative Treatment of Camptodactyly with use of Orthoses: A Retrospective Cohort.

作者信息

Oliveira Maria da Conceição Soares de, Figueiredo Felipe Soares, Aguiar Diego Pinheiro

机构信息

Divisão de Pesquisa, Área de Reabilitação, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad (INTO), Rio de Janeiro, RJ, Brasil.

Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad (INTO), Rio de Janeiro, RJ, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Sep 4;59(4):e564-e571. doi: 10.1055/s-0044-1786199. eCollection 2024 Aug.

Abstract

To evaluate the outcomes of conservative treatment using static orthoses manufactured by the Occupational Therapy Sector of our institution in participants with camptodactyly types I, II, and III in their rigid or flexible forms, to describe the demographic and clinical data, and to analyze the number of dropouts during the treatment period.  The Ethics in Human Research Committee approved the project under protocol number CAAE 20300419.3.0000.5273. All medical records used in the research were made available by our institution. In the present retrospective study, we did not use the informed consent form due to the impossibility of contacting the high number of participants. The study included medical records of 38 participants treated at the Occupational Therapy Outpatient Clinic from 2013 to 2019.  Of the 54 fingers treated with orthoses, 38 were completely corrected. The rates of correction were as follows: type I in its rigid form - 100% type I in its flexible form - 81.2%; type II in its rigid form - 0%; type II in its flexible form - 100%; type III in its rigid form - 47.6%; and type III in its flexible form - 100%. Of the 93 fingers included in this study, 42% abandoned the treatment.  Static orthoses are a safe alternative to surgical procedures, with low execution complexity for camptodactyly treatment.

摘要

评估由本机构职业治疗部门制造的静态矫形器对I型、II型和III型先天性屈曲指患者僵硬或灵活形式进行保守治疗的效果,描述人口统计学和临床数据,并分析治疗期间的退出人数。 人体研究伦理委员会批准了该项目,协议编号为CAAE 20300419.3.0000.5273。本研究中使用的所有医疗记录均由本机构提供。在本回顾性研究中,由于无法联系大量参与者,我们未使用知情同意书。该研究纳入了2013年至2019年在职业治疗门诊接受治疗的38名参与者的医疗记录。 在接受矫形器治疗的54根手指中,38根完全矫正。矫正率如下:僵硬形式的I型 - 100%;灵活形式的I型 - 81.2%;僵硬形式的II型 - 0%;灵活形式的II型 - 100%;僵硬形式的III型 - 47.6%;灵活形式的III型 - 100%。在本研究纳入的93根手指中,42%放弃了治疗。 静态矫形器是手术治疗的一种安全替代方法,用于先天性屈曲指治疗的执行复杂性较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1c2/11374391/96481e8cc7e8/10-1055-s-0044-1786199-i2300165en-1.jpg

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