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在指梯形手指甲骨关节整体关节整形术后的固定,康复和并发症分类. 一个范围审查审查
Elske E D J Bonhof-Jansen1, Sander M Brink2, Jeroen H van Uchelen3
1University of Groningen, University Medical Center Groningen, Department of Plastic Surgery, Groningen, The Netherlands; Isala, Hand Wrist Center, Department of Hand Therapy, Zwolle, The Netherlands.
Hand surgery & rehabilitation
|September 27, 2024
概括
在梯形甲手腕关节置换术后的术后护理缺乏证据. 目前对固定和康复的做法有很大差异,基于临床经验而不是研究,突出显著的知识差距.
科学领域:
- 整形外科手术 整形外科手术
- 康复医学 康复医学 康复医学
背景情况:
- 形甲手足关节全关节整形术是治疗关节炎的常见手术.
- 最佳的术后管理,包括固定和康复,仍然没有定义.
研究的目的:
- 审查现有的关于在特拉佩齐米卡尔帕关节全关节整形术后固定和康复方案的文献.
- 识别术后护理中的实践变化和知识差距.
主要方法:
- 在没有限制的情况下进行了全面的文献搜索.
- 分析包括了123项研究,报告了21种类型的假肢.
主要成果:
- 报告的固定方法 (造,,带,组合) 和康复方法 (监督,自主,功能,定制) 中存在显著差异.
- 固定和康复的细节经常没有报告 (分别为19%和28%).
- 很少有研究涉及并发症,并发症的时间往往缺失 (43%).
结论:
- 在形甲手关节全关节整形术后,关于固定和康复方案的比较研究严重缺乏.
- 目前,术后护理的临床决策在很大程度上依赖于经验,因为缺乏科学证据,导致广泛的实践变化.
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