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Clinical outcomes after primary repair for thumb ulnar collateral ligament ruptures: a systematic review and meta-analysis.
Legerstee, Ingmar W F; Derksen, Bas M; van der Oest, Mark J W; Hundepool, Caroline A; Duraku, Liron S; Selles, Ruud W; Michiel Zuidam, J.
Afiliação
  • Legerstee IWF; Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, the Netherlands.
  • Derksen BM; Hand and Arm Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA.
  • van der Oest MJW; Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, the Netherlands.
  • Hundepool CA; Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, the Netherlands.
  • Duraku LS; Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, the Netherlands.
  • Selles RW; Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Amsterdam, the Netherlands.
  • Michiel Zuidam J; Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, the Netherlands.
J Hand Surg Eur Vol ; 49(5): 534-545, 2024 May.
Article em En | MEDLINE | ID: mdl-38488512
ABSTRACT
There is no consensus on the best surgical technique for treating thumb ulnar collateral ligament (UCL) ruptures. This systematic review and meta-analysis investigates which primary repair technique and postoperative immobilization protocol result in the best clinical outcomes. A literature search was conducted in Embase, Medline ALL Ovid, Web of Science Core Selection and Cochrane Central Register of Controlled Trials. Pain, stability, tip pinch strength, key pinch strength, grip strength, return to work and metacarpophalangeal joint range of motion were collected as postoperative outcomes. In total, 29 studies were included. All surgical techniques resulted in satisfactory clinical outcomes, with no significant differences between bone anchor reinsertion, suture fixation, K-wire fixation and a combination of techniques. K-wire immobilization resulted in worse postoperative pain, but similar stability compared to immobilization without a K-wire. Clinical outcomes after thumb UCL repair are excellent, with no differences in clinical outcomes noted among surgical techniques.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Polegar / Fios Ortopédicos / Ligamento Colateral Ulnar Limite: Humans Idioma: En Revista: J Hand Surg Eur Vol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Polegar / Fios Ortopédicos / Ligamento Colateral Ulnar Limite: Humans Idioma: En Revista: J Hand Surg Eur Vol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Holanda
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