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Kirscner wire fixation versus suture anchor technique for mallet finger

机译：Kirschner丝固定与缝合锚杆技术用于槌手指

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PURPOSE:Though the previous studies had described various surgical techniques for the treatment of mallet finger injuries, consensus on which technique was the most effective and appropriate surgical methods had not yet reached. This review aimed to systematically compare the effectiveness and safety of the treatment for mallet finger injuries via Kirschner wire fixation versus suture anchor technique to recommend an optimum option.METHODS:All literatures published until December 31, 2019 compared Kirschner wire fixation versus suture anchor technique to treat mallet finger were acquired through a comprehensive search in multiple databases. A meta-analysis was performed by the Cochrane Collaboration's RevMan 5.3 software.RESULTS:A total of 8 trials with 362 cases consisted of 4 randomized controlled trials and 4 prospective studies. The results suggested that the groups treated with kirschner wire fixation experienced more significant advantage in less complications than suture anchor groups (P? ?.05, respectively) between the two surgical procedures.CONCLUSIONS:No obvious superiority were shown for the effectiveness between the two surgical interventions based on the above results. But in view of the less economic spending and complications, Kirschner wire fixation should be a better alternative relative to the suture anchor technique for inevitable surgical treatment of mallet finger lesions. However, a prudent attitude is still necessary to choose the two operative managements before a large sample and high-quality randomized controlled trials had been performed.Copyright ? 2021 the Author(s). Published by Wolters Kluwer Health, Inc.
机译：目的：虽然以前的研究描述了用于治疗槌手指损伤的各种手术技术，但尚未达到哪种技术的共识是最有效和适当的手术方法。该审查旨在通过Kirschner线固定系统地系统地比较Mallet手指损伤的疗效和安全性，与缝合锚技术推荐最佳选择。方法：所有文献发表于2019年12月31日，将Kirschner线固定与缝合锚技术相比通过在多个数据库中进行全面搜索，获得享受槌手指。 Cochrane协作的Revman 5.3软件进行了META分析。结果：共有8例试验362例，由4项随机对照试验和4项前瞻性研究组成。结果表明，用kirschner线固定处理的组在两种外科手术过程之间的并发症中经历了更大的优势在较小的并发症中外科干预基于上述结果。但鉴于经济支出和并发症较少，Kirschner线固定应该是相对于缝合锚固技术的更好的替代方案，用于槌手指病变不可避免的手术治疗。但是，在大型样本和高质量随机对照试验之前，仍有必要审慎的态度仍然是选择两项操作管理。 2021提交人。由Wolters Kluwer Health，Inc。出版

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