Therapeutic interventions for osteoarthritis of the wrist: a systematic review and meta-analysis

Dean, Benjamin; Henari, Shwan; Thurley, Neal; Little, Chris; McNab, Ian; Riley, Nicholas

doi:10.12688/f1000research.16218.1

Cited by 7 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Less commonly performed is radio-scapho-lunate fusion. Total carpal fusion represents the ultimate salvage procedure in pancarpal arthrosis [ 15 , 57 ]. In a Sauve–Kapandji procedure, arthrodesis of the DRUJ is combined with ulnar shaft osteotomy [ 58 ].…”

Section: Arthrodesismentioning

confidence: 99%

“…For partial wrist replacement, treatments with implants that replace proximal carpal row are reported. Additionally, the pyrocarbon lunate resurfacing implants and pyrocarbon interposition implants are well-tolerated options for narrow indications [ 15 , 57 ]. Partial or total DRUJ arthroplasty with an implant is an alternative option for a destroyed joint [ 79 ].…”

Section: Replacementmentioning

confidence: 99%

See 1 more Smart Citation

The Surgical Treatment of Osteoarthritis

Brumat

Kunšič

Novak

et al. 2022

Life

View full text Add to dashboard Cite

Osteoarthritis is a degenerative condition affecting the whole joint with the underlying bone, representing a major source of pain, disability, and socioeconomic cost worldwide. Age is considered the strongest risk factor, albeit abnormal biomechanics, morphology, congenital abnormality, deformity, malalignment, limb-length discrepancy, lifestyle, and injury may further increase the risk of the development and progression of osteoarthritis as well. Pain and loss of function are the main clinical features that lead to treatment. Although early manifestations of osteoarthritis are amenable to lifestyle modification, adequate pain management, and physical therapy, disease advancement frequently requires surgical treatment. The symptomatic progression of osteoarthritis with radiographical confirmation can be addressed either with arthroscopic interventions, (joint) preservation techniques, or bone fusion procedures, whereas (joint) replacement is preferentially reserved for severe and end-stage disease. The surgical treatment aims at alleviating pain and disability while restoring native biomechanics. Miscellaneous surgical techniques for addressing osteoarthritis exist. Advanced computer-integrated surgical concepts allow for patient personalization and optimization of surgical treatment. The scope of this article is to present an overview of the fundamentals of conventional surgical treatment options for osteoarthritis of the human skeleton, with emphasis on arthroscopy, preservation, arthrodesis, and replacement. Contemporary computer-assisted orthopaedic surgery concepts are further elucidated.

show abstract

Section: Arthrodesismentioning

confidence: 99%

Section: Replacementmentioning

confidence: 99%

The Surgical Treatment of Osteoarthritis

Brumat

Kunšič

Novak

et al. 2022

Life

View full text Add to dashboard Cite

show abstract

“…RevMan 5 can be downloaded from: https://community.cochrane.org/help/tools-and-software/revman-5/revman-5-download. DOI: https://doi.org/10.5256/f1000research.16218.d217625 25 .…”

Section: Data Availabilitymentioning

confidence: 99%

Therapeutic interventions for osteoarthritis of the wrist: a systematic review and meta-analysis

et al. 2018

Self Cite

View full text Add to dashboard Cite

Background: In order to evaluate the effectiveness of interventions for osteoarthritis of the wrist in adults we performed a systematic review and meta-analysis. Methods: The MEDLINE and EMBASE via OVID, CINAHL and SPORTDiscus via EBSCO databases were searched from inception to 25 th April 2018.All randomised controlled clinical trials (RCTs) and any prospective studies of adults with wrist osteoarthritis investigating any intervention with a comparator were included. Data were extracted and checked for accuracy and completeness by pairs of reviewers. Primary outcomes were pain and function. Comparative treatment effects were analysed by random effects at all time points. Results: Three RCTs were identified for inclusion after screening and all had a high risk of bias. Two compared proximal row carpectomy (PRC) with four corner fusion (4CF) for post-traumatic osteoarthritis, while the other compared leather with commercial wrist splints in patients with chronic wrist pain, of which a small group had wrist osteoarthritis. Conclusion: There is no prospective study comparing operative to non-operative treatment for wrist osteoarthritis, while there is a paucity of prospective studies assessing the effectiveness of both non-operative and operative interventions. Further research is necessary in order to better define which patients benefit from which specific interventions. Registration: The review protocol was registered with PROSPERO under the registration number CRD42018094799.

show abstract