Scaphoid fracture non-union: a systematic review of the arthroscopic management.

Acta bio-medica : Atenei Parmensis Pub Date : 2023-10-17 DOI:10.23750/abm.v94i5.14646

Morena Anna Basso, Francesco Smeraglia, Montserrat Ocampos-Hernandez, Giovanni Balato, Alessio Bernasconi, Fernando Corella-Montoya

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Abstract

Background and aim: There is no consensus regarding the most appropriate treatment of scaphoid nonunion. This systematic review aimed to investigate whether wrist arthroscopy exerts a positive influence on bone union and clinical outcomes.

Methods: We searched the literature on Medline (PubMed), Web of Science, Embase and Scopus databases using the combined keywords "scaphoid" AND "arthroscopy" AND "pseudoarthrosis" OR "nonunion". Eighteen studies were finally included in our review. The quality of the studies was assessed using the Coleman Methodological Score.

Results: Our systematic review has shown that arthroscopic management of scaphoid nonunion achieves a high rate of union and satisfactory clinical outcomes with minimal complications.

Conclusions: There is need to perform randomized controlled trials reporting on the use of arthroscopy. In addition, the different pattern of pseudoarthrosis should be better classified to manage the patients who will benefit after the management.

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肩胛骨骨折不愈合：关节镜治疗的系统回顾。

背景和目的：对于舟骨不连的最合适治疗方法，目前尚无共识。本系统综述旨在研究腕关节镜检查是否对骨愈合和临床结果产生积极影响。方法：我们在Medline（PubMed）、Web of Science、Embase和Scopus数据库中使用组合关键字“舟状骨”和“关节镜”和“假关节病”或“骨不连”搜索文献。18项研究最终被纳入我们的综述。使用Coleman方法学评分对研究质量进行评估。结果：我们的系统综述表明，关节镜下治疗舟骨不连的愈合率高，临床效果满意，并发症少。结论：有必要进行随机对照试验，报告关节镜的使用情况。此外，应更好地对不同类型的假关节病进行分类，以管理患者，使其在治疗后受益。

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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Acta bio-medica : Atenei Parmensis

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