Surgical treatment for correction of rhizarthrosis: Systematic review with meta-analysis

Аннотация

Objectives: to evaluate the results obtained from the arthroplasty, arthrodesis and trapeziectomy with tendon interposition techniques used to treat rhizarthrosis. Methodology: This is a systematic review with meta- The American Journal of Medical Sciences and Pharmaceutical Research 157 https://www.theamericanjournals.com/index.php/tajmspr The American Journal of Medical Sciences and Pharmaceutical Research analysis carried out by searching the electronic future surgical option. Secondary trapeziectomy after databases PubMed/MEDLINE and Cochrane Library arthroplasty generally does not differ from the results without language restriction for publications up to June of primary trapeziectomy and survival is 95.6% at four 2024 to analyze the surgical treatment of arthritis of the years in a first prosthesis model tested, 93% and 85% in first carpometacarpal joint. two other models and 68% after five years in a fourth model evaluated. 2,3,4,5,6,7 Results: 289 patients were included, of whom 63 underwent trapeziectomy with tendon interposition, Arthroplasty has proven to be an effective alternative if 70 underwent arthrodesis and 156 underwent correctly indicated and performed. It can be concluded arthroplasty. Arthroplasty showed good long-term that no procedure is superior in the long term in terms results when compared to the most commonly used of pain, physical function, assessment, range of motion techniques for correcting rhizarthrosis. Trapeziectomy or strength. In other words, the superiority of showed no significant improvement in strength or arthroplasty over other surgical procedures has not yet functionality when compared to arthrodesis, and was been confirmed to date. 2,3,4 Therefore, the objective also more associated with cases of joint reduction of this study is to evaluate the results obtained through failure and consequent re-intervention. the techniques of arthroplasty, trapeziometacarpal arthrodesis (TMA) and trapeziectomy with tendon Conclusion: No surgical technique is superior to interposition (LRTI) used for the treatment of another in terms of pain, physical function and the rhizarthrosis. patient's overall assessment.