Sara Neumeister, Elisabet Hagert, Kevin C Chung, Simon Farnebo, Michel Boeckstyns, Daniel B Herren, Miriam Marks
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引用次数: 0
Abstract
Background: The aim of this systematic literature review was to describe current indications and interventions for revisions after trapeziometacarpal joint (TMJ) resection arthroplasty.
Methods: The literature search was conducted by an experienced librarian in the MEDLINE, Embase, Cochrane Library, Web of Science, and Scopus databases. The authors included all articles that investigated any TMJ arthroplasty procedure in which the trapezium was completely resected and if any subsequent revision procedure including joint-related and soft-tissue operations was mentioned. Two independent reviewers selected the articles and were involved in data extraction.
Results: Sixty-two articles reporting on 5284 operated thumbs and 434 revision operations were included. Twenty-four indications for revision and 31 revision techniques were extracted. Most revisions were performed because of subsidence/impingement of the first metacarpal bone ( n = 194 thumbs) followed by unspecified pain ( n = 53), metacarpophalangeal joint problems ( n = 28), and scaphotrapezoidal osteoarthritis ( n = 17). Eleven treatment strategies were found for subsidence/impingement of the first metacarpal, the most frequent being revision of the existing interposition using autologous tendon ( n = 46) and soft-tissue interposition with distraction pinning ( n = 28).
Conclusions: There are a wide variety of indications and even more surgical techniques described in the literature to treat persisting or recurrent pain after TMJ resection arthroplasty. Currently, there is no uniform treatment guideline available on how to diagnose and treat such cases. Therefore, the results of this literature review will form the basis for a Delphi study aiming to develop recommendations for the diagnosis and treatment of persistent/recurrent pain after TMJ resection arthroplasty.
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For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis.
Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.
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