Volar Tenodesis for the Treatment of Swan-neck Deformity; A Systematic Review

Author:

Kiziridis Georgios1,Giddins Grey E.B.2

Affiliation:

1. Department of Trauma & Orthopaedics, University Hospital Southampton, Southampton, UK

2. Department of Trauma & Orthopaedics, Royal United Hospital, Bath, UK

Abstract

Background: Swan-neck deformity is a common problem particularly in patients with Rheumatoid arthritis. Mobile swan-neck deformities (Nalebuff types I,II) can be treated non-operatively and operatively. In this paper we report on a systematic review of the treatment of swan-neck deformities with volar tenodesis. Methods: We performed a literature search and analysed the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Only eight papers were eligible. None was of high quality. The data reporting was very variable. Therefore, no meta-analysis could be performed, but only a descriptive analysis. Results: The techniques work in preventing proximal inter-phalangeal joint hyperextension between 60 and 100% in these studies. There appears to be some recurrence of hyper-extension with time so that papers with longer follow-up tend to have poorer results. Conclusions: There is no good evidence that one technique is superior to another. The choice of technique is likely to remain based on surgeon preference for the foreseeable future. Future studies should be at least comparative and preferably part of a trial.

Publisher

World Scientific Pub Co Pte Lt

Subject

General Medicine

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Korrektur von Fingerdeformitäten;Aktuelle Rheumatologie;2023-03-15

2. Swan neck deformity: a review of its causes and treatment options;Archives of Hand and Microsurgery;2023-03-01

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