スウェーデンの手と手首の骨切除: 2008年から2023年にかけての6911件の介入を対象とした集団ベースの研究

Viktor Mili-Schmidt^1,2, Mats Wadsten³, Elsa Pihl^1,2

¹Department of Orthopaedic Surgery, Danderyd Hospital, Sweden.

The Journal of hand surgery, European volume

|February 12, 2026

まとめ

スウェーデンの手首と手首の骨切除手術の発生率は,2008年から2023年にかけて大幅に減少した. この傾向は継続すると予測され,外科研修と熟練度に影響を及ぼします.

科学分野:

整形外科整形外科
手術のトレンド
人口の健康人口の健康

背景:

選択性骨切除は,手首と手の変形に対する標準的な治療法です.
これらの手順の国内動向に関するデータは限られている.

研究の目的:

スウェーデンにおける手首と手の骨切除における時間的,人口的,地域的傾向を分析する.
2040年までの将来の罹患率を予測する.

主な方法:

スウェーデン国立患者登録簿 (2008-2023) を用いた全国的観察研究.
NOMESCOのコードを用いた骨切除 (回転/角:NDK59,NCK59;延長/短縮:NDK69,NCK69) を用いた骨切除が確認されました.
性別,年齢,地域によって階層化された発生率を計算し,将来の傾向を予測するモデリングを使用した.

主要な成果:

2008年から2023年の間に6911件の骨切除手術が行われました.
年間発生率は,研究期間中,着実に減少していました.
女性,中年/高齢者におけるより高い発生率,および地域による有意な変動が観察されました. 予測では,継続的な減少が予測されています.

結論:

手首と手の骨切開の発生率は著しく低下しており,おそらく骨折管理の改善によるものです.
減少するボリュームは,外科医の熟練度を低下させ,症例集中などの戦略を必要とします.
変化する外科療法,人口統計,地域格差がこれらの傾向に影響を及ぼしている.

キーワード:

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