Factors determining outcome of corrective osteotomy for malunited paediatric forearm fractures: a systematic review and meta-analysis
| Autor: | Joost W. Colaris, R. C.I. Van Geenen, Jan A N Verhaar, Max Reijman, Kasper C. Roth, Monique M. J. Walenkamp |
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| Přispěvatelé: | Plastic and Reconstructive Surgery and Hand Surgery, Orthopedics and Sports Medicine |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Review Article Outcome (game theory) 03 medical and health sciences 0302 clinical medicine Primary outcome Forearm medicine Humans 030212 general & internal medicine Malunion forearm Fractures Malunited 030222 orthopedics Corrective osteotomy child business.industry medicine.disease Ulna Fractures Osteotomy medicine.anatomical_structure Treatment Outcome fracture Meta-analysis Child Preschool Physical therapy Surgery Female business Radius Fractures malunion Angular deformity radius Cohort study |
| Zdroj: | The Journal of Hand Surgery, European Volume Journal of Hand Surgery-European Volume, 42(8), 810-816. SAGE Publications Ltd |
| ISSN: | 2043-6289 1753-1934 |
| Popis: | The aim of this study was to identify predictors of a superior functional outcome after corrective osteotomy for paediatric malunited radius and both-bone forearm fractures. We performed a systematic review and meta-analysis of individual participant data, searching databases up to 1 October 2016. Our primary outcome was the gain in pronosupination seen after corrective osteotomy. Individual participant data of 11 cohort studies were included, concerning 71 participants with a median age of 11 years at trauma. Corrective osteotomy was performed after a median of 12 months after trauma, leading to a mean gain of 77° in pronosupination after a median follow-up of 29 months. Analysis of variance and multiple regression analysis revealed that predictors of superior functional outcome after corrective osteotomy are: an interval between trauma and corrective osteotomy of less than 1 year, an angular deformity of greater than 20° and the use of three-dimensional computer-assisted techniques. Level of evidence: II |
| Databáze: | OpenAIRE |
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