期刊
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
卷 75, 期 2, 页码 711-721出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.bjps.2021.09.076
关键词
Proximal row carpectomy; Four corner arthrodesis; Scapholunate advanced collapse; Scaphoid nonunion advanced collapse; Systematic review; Meta-analysis
类别
This study compared the outcomes of PRC and FCA in the treatment of type two and type three SLAC and SNAC-induced degenerative arthritis. The results showed no significant difference between PRC and FCA in any of the outcome measures. However, due to the high risk of bias in the studies, further validation is needed for the results.
Summary While scaphoid excision combined with Four Corner Arthrodesis (FCA) or Proximal Row Carpectomy (PRC) is a commonly-used salvage procedures to treat type two and type three Scapholunate Advanced Collapse (SLAC) and Scaphoid Nonunion Advanced Collapse (SNAC)induced degenerative arthritis, controversy remains over which treatment intervention provides superior outcomes. We searched for articles comparing a range of motion, grip strength, complications requiring reoperation, conversion to wrist arthrodesis, pain, and disability of shoulder and arm scores between FCA and PRC-treated patients. The risk of bias was assessed using the National Institutes of Health (NIH) quality assessment tool. We performed a metaanalysis using Random-Effects Models. Fifteen articles (10 retrospective, 2 cross-sectional, 1 prospective, and 2 randomized trials) were included. There was no significant difference between PRC and FCA in any of the different outcome measures. The risk of bias was found consistently high across all studies. Despite the lack of high-quality evidence, based on existing literature, we recommend PRC as the preferred choice of treatment because of the simplicity of the surgical procedure, lack of hardware-related complications, and comparable long-term outcomes.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据