V区屈肌腱损伤的疗效评价:一项系统综述

IF 0.7 Q4 SURGERY
Iris Cardoz Lobo, Sonali Manek, Krutika Bhosale, Chhaya Verma, Maksud Devale, Aditi Parekh, Priyanka Kerketta
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引用次数: 0

摘要

屈肌腱损伤V区是一种涉及肌腱、神经和血管的多组分软组织损伤。因此,修复的结果评估需要对整个手进行评估,而不是单独评估肌腱功能。本系统评价和符合meta分析的系统评价的首选报告项目的目的是确定和评估屈肌v区使用的结果测量的组成部分。方法共从四个数据库(PubMed, ProQuest, Cochrane Central和Google Scholar)检索了3,761项研究。然后使用有效的筛选表对这些研究进行筛选。符合资格标准的15篇文章被纳入审查。随后,使用Joanna Brigg研究所的工具评估纳入的研究的方法学质量。结果15项研究中,11项为病例系列研究,3项为横断面研究,1项为随机对照试验。在纳入的15项研究中,13项为低风险,而2项研究在使用乔安娜布里格研究所工具评估方法学质量时显示中度风险。确定了8项结果测量,其中最常用的是美国手部外科学会(TAM-ASSH)和Noaman标准的总主动运动。我们的研究发现,除了活动度(ROM)之外,Noaman的标准还评估了感觉运动功能和手指畸形,这是通过所有其他结果测量来评估的。我们得出结论,尽管Buck-Gramcko标准非常适合于ROM评估,但Noaman标准,一种最近开发的专门用于V区复合损伤的结果测量,考虑了神经损伤和肌腱功能的影响。虽然是专门为V区肌腱、神经和血管的联合损伤而设计的,但在文献中缺乏使用。仍然缺乏一致和适当的结果测量选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Outcome Measures of Zone V Flexor Tendon Injury: A Systematic Review
Abstract Background Flexor tendon injury zone V is a multicomponent soft tissue injury involving tendons, nerves, and vessels. Outcome assessment of repair thus requires evaluation of the hand as a whole rather than solely evaluating tendon function. The purpose of this Preferred Reporting Items for Systematic Reviews and Meta-Analyses -compliant systematic review was to identify and assess the components of outcome measures used in flexor zone V. Methods A total of 3,761 studies were retrieved from four databases (PubMed, ProQuest, Cochrane Central, and Google Scholar). These studies were then screened for inclusion using a validated screening form. Fifteen articles fulfilling the eligibility criteria were included in the review. Subsequently, the included studies were assessed for methodological quality using the Joanna Brigg Institute tool. Results Out of the 15 studies, 11 were case series, 3 were cross-sectional studies, and 1 was a randomized controlled trial. Out of 15 included studies, 13 were of low risk, whereas 2 studies suggested moderate risk when assessed for methodological quality using the Joanna Brigg Institute tool. Eight outcome measures were identified, out of which the most frequently used were Total Active Motion by the American Society for Surgery of Hand (TAM-ASSH) and Noaman's criteria. Our study found that Noaman's criteria assessed sensory-motor function and finger deformity in addition to the range of motion (ROM), which was found to be assessed by all the other outcome measures. Conclusion We concluded that although Buck-Gramcko criteria is well suited for the ROM evaluation, Noaman's criteria, a recently developed outcome measure used exclusively for combined injuries in zone V, took into consideration the implications of nerve injury along with tendon function. Although being specifically designed for combined injuries of tendons, nerves, and vessels in zone V, there is a lack of usage of Noaman's in the literature. There still exists a lack of a consistent and appropriate choice of outcome measure.
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来源期刊
CiteScore
0.80
自引率
12.50%
发文量
64
审稿时长
27 weeks
期刊介绍: Indian Journal of Plastic Surgery (ISSN : 0970-0358) is biannual publication of the Association of Plastic Surgeons of India. Bibliographic listings: The journal is indexed with Bioline International, Caspur, DOAJ, EBSCO Publishing’s Electronic Databases, Expanded Academic ASAP, Genamics JournalSeek, Google Scholar, Health & Wellness Research Center, Health Reference Center Academic, Hinari, Index Copernicus, IndMed, OpenJGate, PubMed, Pubmed Central, Scimago Journal Ranking, SCOLOAR, SCOPUS, SIIC databases, SNEMB, Ulrich’s International Periodical Directory
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