PDF(Pubmed)
Abstract：
The purpose of the study was to investigate whether arthroscopic treatment of carpal scaphoid nonunions by osteosynthesis with bone grafting represents a successful surgical technique. This systematic literature review, conducted following the PRISMA guidelines, explores the past 10 years of clinical studies concerning the arthroscopic treatment of scaphoid nonunions. The most relevant keywords were used to search the databases, and the Downs and Black 27-item checklist has been used as quality assessment tool. Twelve papers that meet the premised eligibility criteria have been identified. These studies demonstrate the efficacy of this surgical solution, achieving a postoperative union rate of 96% in the average time of 13.5 weeks. Regardless of the method of synthesis and the origin of the graft used, excellent results were obtained. Patients who underwent this procedure reported a pain reduction of almost 80% compared to the preoperative level, improvement in grip strength close to 40%, and recovery in wrist function during daily activities. Arthroscopy has numerous advantages compared to the open approach. These are technically recognized by the surgeon and by the patient. Some disadvantages include a longer intraoperative time and considerable significant technical difficulty. Arthroscopic treatment of scaphoid nonunion by osteosynthesis with bone graft achieves a 96% union rate of the treated scaphoid with satisfying clinical results.
摘要：
研究的目的是研究关节镜下通过骨固定术结合植骨治疗腕骨舟骨骨不连是否代表一种成功的手术技术。这篇系统的文献综述，遵循PRISMA指南，探讨了过去10年有关关节镜治疗舟骨骨不连的临床研究。最相关的关键词被用来搜索数据库，DownsandBlack27项清单已被用作质量评估工具。已经确定了12篇符合前提资格标准的论文。这些研究证明了这种手术解决方案的有效性，在13.5周的平均时间内达到96％的术后愈合率。无论合成方法和所用接枝物的来源如何，获得了优异的结果。接受此手术的患者报告说，与术前水平相比，疼痛减轻了近80％。握力改善接近40%，在日常活动中恢复手腕功能。与开放式方法相比，关节镜具有许多优势。这些是外科医生和患者在技术上认可的。一些缺点包括较长的术中时间和相当大的技术难度。关节镜下通过植骨接骨术治疗舟骨骨不连，治疗舟骨的愈合率为96％，临床效果令人满意。
