PDF(Pubmed)
Abstract：
We performed a systematic review to compare conventional (2-D) versus 3-D-guided corrective osteotomies regarding intraoperative results, patient-reported outcome measures, range of motion, incidence of complications and pain score. PubMed (MEDLINE), Embase and Cochrane CENTRAL were searched, and 53 articles were included, reporting 1257 patients undergoing forearm corrective osteotomies between 2010 and 2022. 3-D-guided surgery resulted in a greater improvement in median Disabilities of the Arm, Shoulder and Hand (DASH) score (28, SD 7 vs. 35, SD 5) and fewer complications (12% vs. 6%). Pain scores and range of motion were similar between 3-D-guided and conventional surgery. 3-D-guided corrective osteotomy surgery appears to improve patient-reported outcomes and reduce complications compared to conventional methods. However, due to the limited number of comparative studies and the heterogeneity of the studies, a large randomized controlled trial is needed to draw definitive conclusions.Level of evidence: III.
摘要：
我们进行了系统评价，以比较常规（2-D）和3-D引导的矫正截骨术的术中结果，患者报告的结果指标，运动范围,并发症发生率和疼痛评分。PubMed(MEDLINE),搜索了Embase和CochraneCENTRAL,包括53篇文章，报告了2010年至2022年间接受前臂矫正截骨术的1257例患者。3-D引导手术使手臂的中位残疾得到更大的改善，肩和手（DASH）得分（28，SD7与35，SD5）和更少的并发症（12％vs.6%)。3-D引导和常规手术的疼痛评分和活动范围相似。与传统方法相比，3-D引导的矫正截骨手术似乎可以改善患者报告的预后并减少并发症。然而,由于比较研究的数量有限和研究的异质性，需要一项大型随机对照试验才能得出明确的结论.证据等级：III.
