PDF(Pubmed)
Abstract：
UNASSIGNED: Proximal phalangeal fractures are common and can have a significant impact on hand function. Therefore, it is important to optimise post-operative rehabilitation. A scoping review was undertaken to map the existing evidence on rehabilitation of proximal phalangeal fractures of the fingers in adults.
UNASSIGNED: A comprehensive search was conducted which included database searching, reference searching, hand searching of journals, and searching for grey literature. Eight articles were included after screening for eligibility.
UNASSIGNED: Three studies researched surgical interventions and five studies conservative management. The immobilisation period varied between 5 days to 3 weeks in the surgical studies, and between 3 to 7 weeks in the conservative studies. Active exercise therapy was started immediately with conservative management, while in the surgical studies time to commence exercises varied between 5 days and 3 weeks. All studies reported good results in mobility with a mean total active motion ranging from 240° to 258.9°. Patients reported little pain at final follow-up and grip strength recovered to 96% compared to the unaffected side. Studies reporting on function and patient satisfaction lacked transparency.
UNASSIGNED: All studies had a moderate to high risk of bias and the results of the included studies should therefore be interpreted with caution. More high-quality randomised controlled studies with an a priori research protocol and a standard set of outcome measures are necessary to research whether early motion, an intrinsic plus splint leaving the wrist free, and the inclusion of additional treatment modalities can result in a better and/or faster recovery.
UNASSIGNED: A comprehensive search was conducted which included database searching, reference searching, hand searching of journals, and searching for grey literature. Eight articles were included after screening for eligibility.
UNASSIGNED: Three studies researched surgical interventions and five studies conservative management. The immobilisation period varied between 5 days to 3 weeks in the surgical studies, and between 3 to 7 weeks in the conservative studies. Active exercise therapy was started immediately with conservative management, while in the surgical studies time to commence exercises varied between 5 days and 3 weeks. All studies reported good results in mobility with a mean total active motion ranging from 240° to 258.9°. Patients reported little pain at final follow-up and grip strength recovered to 96% compared to the unaffected side. Studies reporting on function and patient satisfaction lacked transparency.
UNASSIGNED: All studies had a moderate to high risk of bias and the results of the included studies should therefore be interpreted with caution. More high-quality randomised controlled studies with an a priori research protocol and a standard set of outcome measures are necessary to research whether early motion, an intrinsic plus splint leaving the wrist free, and the inclusion of additional treatment modalities can result in a better and/or faster recovery.
摘要：
■指骨近端骨折很常见，可以对手功能产生重大影响。因此,优化术后康复很重要。进行了范围审查，以绘制有关成人手指近端指骨骨折康复的现有证据。
■进行了全面搜索，包括数据库搜索，引用搜索,手工搜索期刊，寻找灰色文献。筛选合格后纳入了八篇文章。
■三项研究了手术干预，五项研究了保守管理。在手术研究中，固定期在5天至3周之间变化，在保守研究中，3到7周之间。积极的运动治疗立即开始与保守管理，而在手术研究中，开始锻炼的时间在5天到3周之间变化。所有研究都报告了移动性的良好结果，平均总主动运动范围为240°至258.9°。与未受影响的一侧相比，患者在最终随访时报告的疼痛很小，握力恢复至96％。报告功能和患者满意度的研究缺乏透明度。
■所有研究均存在中度至高度偏倚风险，因此应谨慎解释纳入研究的结果。更多高质量的随机对照研究与先验研究方案和一套标准的结果测量是必要的，以研究是否早期运动，一个内在的加夹板让手腕自由，并且包含额外的治疗方式可以导致更好和/或更快的恢复。
■进行了全面搜索，包括数据库搜索，引用搜索,手工搜索期刊，寻找灰色文献。筛选合格后纳入了八篇文章。
■三项研究了手术干预，五项研究了保守管理。在手术研究中，固定期在5天至3周之间变化，在保守研究中，3到7周之间。积极的运动治疗立即开始与保守管理，而在手术研究中，开始锻炼的时间在5天到3周之间变化。所有研究都报告了移动性的良好结果，平均总主动运动范围为240°至258.9°。与未受影响的一侧相比，患者在最终随访时报告的疼痛很小，握力恢复至96％。报告功能和患者满意度的研究缺乏透明度。
■所有研究均存在中度至高度偏倚风险，因此应谨慎解释纳入研究的结果。更多高质量的随机对照研究与先验研究方案和一套标准的结果测量是必要的，以研究是否早期运动，一个内在的加夹板让手腕自由，并且包含额外的治疗方式可以导致更好和/或更快的恢复。
