Comparative outcomes between surgical treatment and orthosis splint for mallet finger: a systematic review and meta-analysis.

IF 1 4区医学 Q3 ORTHOPEDICS

Journal of Plastic Surgery and Hand Surgery Pub Date : 2023-02-01 DOI:10.1080/2000656X.2022.2164291

Chi Peng, Ren-Wen Huang, Shih-Heng Chen, Chung-Chen Hsu, Cheng-Hung Lin, Yu-Te Lin, Che-Hsiung Lee

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引用次数: 1

Abstract

Mallet finger is a commonly encountered condition in daily practice. However, there is currently no consensus on whether surgical intervention or conservative treatment with orthosis splint is superior. In this systematic review and meta-analysis, we compare the treatment outcomes between surgery and orthosis for bony and tendinous mallet finger. We searched PubMed, Embase, and the Cochrane Library according to the PRISMA guidelines from inception to January 15, 2021. The primary outcome was distal interphalangeal (DIP) joint extension lag angle, and secondary outcomes were DIP joint flexion and range of motion (ROM) angle. A total of 297 studies were initially identified, of which 13 (ten retrospective non-randomized controlled studies (non-RCTs) and three RCTs) were included in the final analysis. The results of this systematic review and meta-analysis showed that there was no high level of evidence supporting the superiority of surgery over orthosis in the treatment of mallet finger. Based on the available evidence, surgical intervention and conservative treatment with splint may offer similar clinical outcomes in both bony and tendinous mallet finger.

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锤状指手术治疗与矫形夹板治疗的比较结果:一项系统回顾和荟萃分析。

槌状指是日常练习中经常遇到的病症。然而，目前对于手术干预还是矫形夹板保守治疗孰优孰弊尚无共识。在这篇系统综述和荟萃分析中，我们比较了手术和矫形器对骨性和腱性锤状指的治疗结果。我们根据PRISMA指南检索了PubMed、Embase和Cochrane Library，检索时间从成立到2021年1月15日。主要指标为指间关节远端延伸滞后角，次要指标为指间关节屈曲和活动范围角。最初共纳入297项研究，其中13项(10项回顾性非随机对照研究(non-RCTs)和3项随机对照研究)纳入最终分析。本系统综述和荟萃分析的结果显示，没有高水平的证据支持手术优于矫形器治疗锤状指。根据现有证据，手术干预和夹板保守治疗对骨性和腱性锤状指的临床结果相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Plastic Surgery and Hand Surgery ORTHOPEDICS-SURGERY

CiteScore

2.10

自引率

0.00%

发文量

108

审稿时长

6-12 weeks

期刊介绍： The purpose of the Journal of Plastic Surgery and Hand Surgery is to serve as an international forum for plastic surgery, hand surgery and related research. Interest is focused on original articles on basic research and clinical evaluation. The scope of the journal comprises: • Articles concerning operative methods and follow-up studies • Research articles on subjects related to plastic and hand surgery • Articles on cranio-maxillofacial surgery, including cleft lip and palate surgery. Extended issues are published occasionally, dealing with special topics such as microvascular surgery, craniofacial surgery, or burns. Supplements, usually doctoral theses, may also be published. The journal is published for the Acta Chirurgica Scandinavica society and sponsored by the Key Foundation, Sweden. The journal was previously published as Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery.