Conservative Treatment Versus Arthroscopic-Assisted Screw Fixation of Scaphoid Waist Fractures—A Randomized Trial With Minimum 4-Year Follow-Up

Clementson, Martin; Jørgsholm, Peter; Besjakov, Jack; Thomsen, Niels; Björkman, Anders

doi:10.1016/j.jhsa.2015.03.007

Cited by 43 publications

(60 citation statements)

References 24 publications

(29 reference statements)

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“…47 Some observational evidence also shows that arthroscopic assistance may provide additional benefit to the open surgery of intra-articular distal radius fractures 48 49 and scaphoid waist fractures. 50 Almost all wrist pathologies can be dealt with arthroscopically, but evidence that firmly supports the use of arthroscopy in wrist surgery is lacking. 44 We were unable to identify any randomised controlled trials of the efficacy of elbow arthroscopy.…”

Section: Why Are There Secular Trends In Shoulder Arthroscopy?mentioning

confidence: 99%

Lower nationwide rates of arthroscopic procedures in 2016 compared with 1997 (634925 total arthroscopic procedures): has the tide turned?

et al. 2020

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ObjectivesTo assess the rates and secular trends of different joint arthroscopies—shoulder, elbow, wrist, hip, knee and ankle—in Finland between 1997 and 2016.DesignRetrospective nationwide registry study.ParticipantsAll adults in Finland with any arthroscopic intervention procedure code for knee, shoulder, ankle, wrist, elbow or hip arthroscopy between 1 January 1997 and 31 December 2016 were included.Main outcome measuresIncidence rate of arthroscopic surgery per 100 000 person-years.ResultsThe rate of knee and shoulder arthroscopies declined after reaching a peak in 2006 and 2007, respectively. The rates of wrist, elbow and hip joint arthroscopies declined after their 2014 peak. At the same time, the median age of patients who had knee, ankle and hip arthroscopy decreased, whereas the age of patients who had shoulder arthroscopy increased.ConclusionsNumerous randomised controlled trials point to lack of efficacy of the most common knee and shoulder arthroscopic procedures. It should not be assumed that this has contributed to decreased rates of arthroscopic surgery. The concurrent decrease in most of the other joint arthroscopic procedures was unexpected.

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Section: Why Are There Secular Trends In Shoulder Arthroscopy?mentioning

confidence: 99%

Lower nationwide rates of arthroscopic procedures in 2016 compared with 1997 (634925 total arthroscopic procedures): has the tide turned?

et al. 2020

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“…We found no significant differences in rate of infection (seven trials),13–18 22 malunion (seven trials),13–18 22 non-union (six trials),13–16 18 22 avascular necrosis (three trials),17 20 21 range of wrist motion (seven trials),13–18 and financial costs (two trials) 13 23…”

Section: Discussionmentioning

confidence: 77%

“…Avascular necrosis was assessed in three studies 17 20 21. There was no significant difference (p=0.21).…”

Section: Resultsmentioning

confidence: 97%

“…As compared by previous review of the literature by our group1 2 additional studies could be included 20 21…”

Section: Resultsmentioning

confidence: 99%

“…Six13 14 17 18 20 21 of 10 included studies reported the primary outcome—standardised functional outcome. Dias et al ,21 Clementson et al and Vinnars et al 18 reported the functional outcome on the long term (7.8; 6 and 10.2 years).…”

Section: Resultsmentioning

confidence: 99%

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