PDF(Pubmed)
Abstract：
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.
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.
Our systematic review has shown that arthroscopic management of scaphoid nonunion achieves a high rate of union and satisfactory clinical outcomes with minimal complications.
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.
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.
Our systematic review has shown that arthroscopic management of scaphoid nonunion achieves a high rate of union and satisfactory clinical outcomes with minimal complications.
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.
摘要：
目的：关于舟骨骨不连的最适当治疗尚无共识。本系统综述旨在探讨腕关节镜检查是否对骨愈合和临床结局产生积极影响。
方法：我们搜索了Medline（PubMed）上的文献，WebofScience,使用组合关键字\"舟骨\"和\"关节镜\"和\"假关节\"或\"骨不连\"的Embase和Scopus数据库。18项研究最终纳入我们的综述。使用Coleman方法学评分评估研究的质量。
结果：我们的系统评价显示，关节镜治疗舟骨骨不连的愈合率很高，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。此外,假性关节病的不同模式应更好地分类，以管理治疗后受益的患者。
方法：我们搜索了Medline（PubMed）上的文献，WebofScience,使用组合关键字\"舟骨\"和\"关节镜\"和\"假关节\"或\"骨不连\"的Embase和Scopus数据库。18项研究最终纳入我们的综述。使用Coleman方法学评分评估研究的质量。
结果：我们的系统评价显示，关节镜治疗舟骨骨不连的愈合率很高，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。此外,假性关节病的不同模式应更好地分类，以管理治疗后受益的患者。
