gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Artikel

Artikel empfehlen

Therapeutic interventions for osteoarthritis of the wrist: a systematic review

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Benjamin Dean - Nuffield Orthopaedic Centre, Oxford, United Kingdom
  • Neal Thurley - Nuffield Orthopaedic Centre, Oxford, United Kingdom
  • Christopher Little - Nuffield Orthopaedic Centre, Oxford, United Kingdom
  • Shwan Henari - Nuffield Orthopaedic Centre, Oxford, United Kingdom
  • Ian McNab - Nuffield Orthopaedic Centre, Oxford, United Kingdom
  • Nicholas Riley - Nuffield Orthopaedic Centre, Oxford, United Kingdom

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-164

doi: 10.3205/19ifssh0205, urn:nbn:de:0183-19ifssh02057

Veröffentlicht: 6. Februar 2020

© 2020 Dean et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: To evaluate the effectiveness of interventions for osteoarthritis of the wrist in adults.

Methods: Design: Systematic review and meta-analysis.

Data sources: The MEDLINE and EMBASE via OVID, CINAHL and SPORTDiscus via EBSCO were searched.

Study selection: Randomised controlled clinical trials (RCTs) and any prospective studies of adults with wrist osteoarthritis investigating any intervention with a comparator.

Data extraction and analysis: Data were extracted and checked for accuracy and completeness by pairs of reviewers. Primary outcomes were pain and function. Comparative treatment effects were analysed by random effects at all time points.

Results and Conclusions: Three RCTs were identified for inclusion after screening and all had a high risk of bias. Two compared proximal row carpectomy (PRC) with four corner fusion (4CF) for post-traumatic osteoarthritis, while the other compared leather with commercial wrist splints in patients with chronic wrist pain, of which a small group had wrist osteoarthritis.

There is no prospective study comparing operative to non-operative treatment for wrist osteoarthritis, while there is a paucity of prospective studies assessing the effectiveness of both non-operative and operative interventions. Further research is necessary in order to better define which patients benefit from which specific interventions.