医学
炎性关节炎
手腕
破折号
关节炎
类风湿性关节炎
关节置换术
物理疗法
荟萃分析
可视模拟标度
内科学
外科
计算机科学
操作系统
作者
Han Hong Chong,Mate Zabaglo,Aqua Asif,Khalis Boksh,Kunal Kulkarni
标识
DOI:10.1177/17531934231199317
摘要
This systematic review analysed the available evidence on the clinical outcomes of total wrist arthroplasty (TWA) in patients with inflammatory and non-inflammatory arthritis. After screening, 12 studies met the inclusion criteria. They involved 359 patients with 378 TWA implants. The results showed that TWA significantly improved Disabilities of the Arm, Shoulder and Hand (DASH)/Quick-DASH scores and pain visual analogue scale scores in both arthritis groups compared with preoperative values. However, there was no statistically significant difference in the outcome scores between the two groups. Three studies reported Patient-Rated Wrist Evaluation (PRWE) scores, and TWA significantly improved PRWE scores in non-inflammatory arthritis but not in inflammatory arthritis, with no significant difference in postoperative outcome scores between the two groups. Although the included studies have limitations, the review suggests that TWA may be a successful treatment for wrist pain in individuals with either inflammatory or non-inflammatory arthritis. However, further high-quality trials are needed to confirm these findings.
科研通智能强力驱动
Strongly Powered by AbleSci AI