Article
Therapeutic interventions for osteoarthritis of the wrist: a systematic review
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Published: | February 6, 2020 |
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Outline
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Objectives/Interrogation: To evaluate the effectiveness of interventions for osteoarthritis of the wrist in adults.
Methods: Design: Systematic review and meta-analysis.
Data sources: The MEDLINE and EMBASE via OVID, CINAHL and SPORTDiscus via EBSCO were searched.
Study selection: Randomised controlled clinical trials (RCTs) and any prospective studies of adults with wrist osteoarthritis investigating any intervention with a comparator.
Data extraction and analysis: 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 and Conclusions: 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.
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.