Complications and Outcomes of Bone-Anchored Prostheses of the Hand: A Systematic Review.

IF 2.1 2区医学 Q2 ORTHOPEDICS

Journal of Hand Surgery-American Volume Pub Date : 2024-11-19 DOI:10.1016/j.jhsa.2024.09.017

Taylor Bates, Liana J Tedesco, Janos Barrera, Adam Margalit, Michael Fitzgerald, Jacques Hacquebord, Omri Ayalon

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引用次数: 0

Abstract

Purpose: The purpose of this study was to conduct a systematic review evaluating the reported complications and outcomes of bone-anchored prostheses in digit and partial hand amputees.

Methods: A literature review of primary research articles on osseointegration and bone-anchored prostheses for digit and partial amputees was performed. The Medline, Embase, Scopus, and Cochrane Library databases were queried. Inclusion criteria were journal articles that evaluated osseointegration and bone-anchored prostheses in digit and partial hand amputees. The main outcome measures were reported complications and the need for revision surgery. Secondary outcomes included all reported outcome assessments.

Results: Fifteen articles were included with publication dates ranging from 1996 to 2022. The sample sizes ranged from single-patient case reports to a 13-patient retrospective study. Overall, 33 men and 16 women were reported with a mean age of 33.6 years (range: 12-68) and a total of 71 amputated digits. The median follow-up was 2.1 years (IQR: 1.1-6.8 years). A total of 24 complications were reported in 14 digits (19.7%). Complications included superficial infection in 6 digits (8.5%), abutment loosening or failure in 5 (7%), fixture aseptic loosening in 4 (5.6%), deep infection in 1 (1.4%), and soft tissue instability in 1 (1.4%). Sixteen revision surgeries or component changes were reported.

Conclusions: Bone-anchored prostheses using osseointegrated implants in the hand are associated with favorable outcomes in the limited number of low-quality studies available for review. Superficial infections and implant-related failures were the most frequently reported complications.

Type of study/level of evidence: Systematic review IV.

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手部骨缺损假体的并发症和疗效：系统回顾。

目的：本研究的目的是进行系统性综述，评估已报道的骨锚定假体用于数位和部分手部截肢者的并发症和结果：对有关骨结合和骨锚定假体用于截肢者和部分截肢者的主要研究文章进行了文献综述。检索了 Medline、Embase、Scopus 和 Cochrane 图书馆数据库。纳入标准是评估骨结合和骨锚定假体用于数位和部分手部截肢者的期刊文章。主要结果指标为报告的并发症和翻修手术需求。次要结果包括所有报告的结果评估：共纳入 15 篇文章，发表日期从 1996 年到 2022 年不等。样本量从单个患者的病例报告到13名患者的回顾性研究不等。总共有 33 名男性和 16 名女性接受了研究，平均年龄为 33.6 岁（范围：12-68 岁），共截肢 71 个指头。中位随访时间为 2.1 年（IQR：1.1-6.8 年）。据报告，有 14 个指头（19.7%）出现了 24 种并发症。并发症包括：6 位数（8.5%）的表皮感染、5 位数（7%）的基台松动或失败、4 位数（5.6%）的夹具无菌性松动、1 位数（1.4%）的深部感染和 1 位数（1.4%）的软组织不稳定。报告了16例翻修手术或组件更换：结论：在有限的低质量研究中，手部使用骨结合植入物的骨锚定假体具有良好的疗效。表皮感染和植入失败是最常见的并发症：系统综述 IV.

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 Hand Surgery-American Volume 医学-外科

CiteScore

3.20

自引率

10.50%

发文量

402

审稿时长

12 weeks

期刊介绍： The Journal of Hand Surgery publishes original, peer-reviewed articles related to the pathophysiology, diagnosis, and treatment of diseases and conditions of the upper extremity; these include both clinical and basic science studies, along with case reports. Special features include Review Articles (including Current Concepts and The Hand Surgery Landscape), Reviews of Books and Media, and Letters to the Editor.