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Review
. 2022 Jan 28;30(1):e246704.
doi: 10.1590/1413-785220223001e246704. eCollection 2022.

SURGICAL TREATMENT FOR RHIZARTHROSIS: A SYSTEMATIC REVIEW OF THE LAST 10 YEARS

Ricardo Lucca Cabarite Saheb  1 , Breno Alves DE Sousa Vaz  1 , Thabata Pasquini Soeira  1 , Filipe Jun Shimaoka  1 , Carlos Fernando Pereira DA Silva Herrero  1 , Nilton Mazzer  1
Affiliations
Review

SURGICAL TREATMENT FOR RHIZARTHROSIS: A SYSTEMATIC REVIEW OF THE LAST 10 YEARS

Ricardo Lucca Cabarite Saheb et al. Acta Ortop Bras. .

Abstract
in English, Portuguese

Introduction: Comparison of different surgical techniques to treat patients with rhizarthrosis or carpometacarpal osteoarthritis of the thumb.

Materials and methods: A systematic review was conducted using three electronic databases. Randomized, controlled trials in patients who underwent surgery for the treatment of rhizarthrosis were included. The literature review followed the PRISMA protocol.

Results: A total of 15 articles involving a total population of 958 patients were selected. Seven different surgical techniques were compared.

Conclusions: We conclude that no procedure is superior to another in terms of pain, physical function, overall patient assessment, range of motion, or strength. Outcome measurements should be standardized to enable better comparison between surgical techniques. Level of evidence II, Systematic Review.

Introdução: Comparação de diferentes técnicas cirúrgicas em pacientes com rizartrose ou osteoartrite carpometacárpica do polegar.

Materiais e métodos: A revisão sistemática foi conduzida em três bancos de dados eletrônicos. Foram incluídos estudos clínicos randomizados e controlados com pacientes submetidos ao tratamento cirúrgico para tratamento de rizartrose. A revisão da literatura seguiu o protocolo PRISMA.

Resultados: Foram selecionados 15 artigos, envolvendo uma população total de 958 pacientes. Foram comparadas sete técnicas cirúrgicas distintas.

Conclusões: Concluímos que nenhum procedimento é superior a outro em termos de dor, função física, avaliação geral do paciente, amplitude de movimento ou força. A mensuração dos desfechos obtidos devem ser padronizadas a fim de possibilitar melhor comparação entre as técnicas cirúrgicas assim como, permitir uma análise estatística fidedigna. Nível de Evidência II; Revisão Sistemática.

Keywords: Rhizarthrosis; Thumb osteoarthritis; Trapeziometacarpal joint.

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Conflict of interest statement

All authors declare no potential conflict of interest related to this article.

Figures

Figure 1
Figure 1. Publications per year.
Figure 2
Figure 2. The Disabilities of the Arm, Shoulder and Hand; VAS = Visual Analogue Scale; MHQ = Michigan Hand Outcome Questionnaire; PRWHE = Patient rate wrist/hand.
See this image and copyright information in PMC

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