Orthotic management of fixed flexion deformity of the proximal interphalangeal joint following traumatic injury: A systematic review.

Nicole Young, Nichola Terrington, Diana Francis, Luke S Robinson
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引用次数: 5

Abstract

Background/objective: Fixed flexion deformity of the proximal interphalangeal joint can commonly occur following a traumatic injury impacting on hand function and occupational performance. Numerous interventions have been proposed for fixed flexion deformity resolution. This paper investigates the efficacy of static or dynamic orthoses in reducing fixed flexion deformity contracture following traumatic proximal interphalangeal joint injury.

Methods: A multi-database search of three databases (CINAHL, EMBASE, MEDLINE) was conducted. Data extracted for each study were design, patient descriptions, degree of fixed flexion deformity pre- and post-orthoses, and prescribed interventions and exercise programmes.

Results: The search yielded 643 studies, of which eight met the inclusion criteria. Studies used heterogeneous methodologies investigating various orthotic interventions. Meta-analysis or pooling of results was not possible. Dissimilar orthotic wear regimes were noted in all studies and an alternative clinical significance outcome was found.

Conclusion: More research is required to support clinical reasoning in orthotic choice for fixed flexion deformity of the proximal interphalangeal joint post-traumatic injury.

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创伤性损伤后近端指间关节固定屈曲畸形的矫形治疗:系统回顾。
背景/目的:创伤性损伤影响了手功能和职业表现后,通常会发生近端指间关节固定屈曲畸形。许多干预措施已提出固定屈曲畸形的解决方案。本文探讨了静态矫形器和动态矫形器对创伤性近端指间关节损伤后固定屈曲畸形挛缩的治疗效果。方法:对CINAHL、EMBASE、MEDLINE三个数据库进行多数据库检索。每项研究提取的数据包括设计、患者描述、矫形前后固定屈曲畸形程度、规定的干预措施和锻炼计划。结果:检索得到643项研究,其中8项符合纳入标准。研究采用异质方法调查各种矫形器干预措施。不可能进行荟萃分析或汇总结果。在所有研究中都注意到不同的矫形器佩戴方案,并发现了另一种具有临床意义的结果。结论:创伤后近端指间关节固定屈曲畸形矫形器选择的临床推理有待进一步研究。
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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