Hand and wrist joint procedures in patients with scleroderma: a systematic review

We aimed to examine if joint procedures in hands and wrists of patients with scleroderma could be performed without major morbidity and conducted a systematic review of the literature to assess this hypothesis. Studies were identified in four different databases; soft tissue procedures in scleroderm...

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Veröffentlicht in:Journal of Hand Surgery (European Volume) 2019-05, Vol.44 (4), p.402-407
Hauptverfasser: Politikou, Olga, Giesen, Thomas, Reissner, Lisa, Calcagni, Maurizio
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container_title Journal of Hand Surgery (European Volume)
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creator Politikou, Olga
Giesen, Thomas
Reissner, Lisa
Calcagni, Maurizio
description We aimed to examine if joint procedures in hands and wrists of patients with scleroderma could be performed without major morbidity and conducted a systematic review of the literature to assess this hypothesis. Studies were identified in four different databases; soft tissue procedures in scleroderma patients were excluded, and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Seven studies out of an initial total of 203 articles were included. One-hundred and twelve scleroderma patients with a total of 402 joint procedures in the hand and wrist were identified. A low complication incidence, comparable with that of non-sclerodermic population, in terms of infection, wound healing problems, and nonunion was reported in all studies. The application of joint procedures in scleroderma hands and wrists seems to be associated with low morbidity.
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subjects Hand Joints - surgery
Humans
Orthopedic Procedures
Postoperative Complications
Scleroderma, Systemic - complications
Wrist Joint - surgery
title Hand and wrist joint procedures in patients with scleroderma: a systematic review
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