外科医生在治疗指手指甲骨关节炎的偏好
Edward J Wu1,2, Bradley W Fossum1, Wyatt Vander Voort2
1Department of Orthopedic Surgery, University of Minnesota Medical School, Minneapolis, MN 55455, United States.
World journal of orthopedics
|June 5, 2024
概括
大多数外科医生更喜欢复杂的CMC关节炎治疗方法,如带有带重建的梯形切除术,尽管有证据支持更简单的方法. 在选择外科手术技术方面,熟悉和训练往往超过1级证据.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 类风湿病学 类风湿病学
背景情况:
- 主要的指 carpometacarpal (CMC) 骨关节炎非常普遍.
- 目前的手术选择缺乏一个明确的,优越的治疗单独的梯形切除术.
研究的目的:
- 调查影响外科医生对CMC关节炎首选技术的决策因素.
- 了解手指CMC骨关节炎治疗手术方法选择背后的逻辑.
主要方法:
- 一个横截面调查分发给美国手术协会的成员.
- 该调查评估了孤立指CMC关节炎的首选手术技术和人口统计信息.
主要成果:
- 带重建肌插入 (LRTI) 的梯形切除术是最喜欢的技术 (40.5%).
- 由于熟悉和奖学金培训,外科医生更喜欢LRTI;悬浮整形技术是为了简单和更少的并发症而选择的.
- 简单性,更少的并发症和避免自身组织收获是偏好单独的梯形切除术等简单技术的关键原因.
结论:
- 外科医生对CMC关节炎治疗的偏好受到1级证据之外的因素的影响,包括熟悉和个人经验.
- 尽管有证据支持单独的梯形切除术,但联合手术仍然很受欢迎.
- 需要进一步的研究,以确定伊顿II-IV期CMC关节炎的最佳手术治疗方法.
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