Pre-operative imaging for surgical decision-making and the frequency of wrist arthrodesis and carpectomy procedures: a scoping review,Skeletal Radiology

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Pre-operative imaging for surgical decision-making and the frequency of wrist arthrodesis and carpectomy procedures: a scoping review
Skeletal Radiology ( IF 1.9 ) Pub Date : 2022-08-15 , DOI: 10.1007/s00256-022-04157-8
Barry L Baylosis ₁ , Alexander S McQuiston ₂ , Christopher O Bayne ₃ , Robert M Szabo ₃ , Robert D Boutin ₁

Affiliation

Objectives

Our objectives were to (1) analyze the imaging modalities utilized pre-operatively that influence surgical decision-making for wrist arthrodesis and carpectomy procedures and (2) determine the type and frequency of these procedures for the treatment of wrist arthritis.

Materials and methods

This review was performed according to the guidelines of PRISMA Extension for Scoping Reviews. Using PubMed, Embase, and Scopus, peer-reviewed literature from 2011 to 2022 was searched for use of imaging in pre-operative decision-making for wrist arthrodesis and carpectomy surgical procedures. Data were compiled to determine the type(s) of imaging modalities used pre-operatively and types of surgical techniques reported in the literature.

Results

Of 307 articles identified, 35 articles satisfied eligibility criteria, with a total of 1377 patients (68% men; age mean, 50.9 years [range, 10–81]) and 1428 wrist surgical interventions. Radiography was reported for pre-operative planning in all articles for all patients. Pre-operative cross-sectional imaging was reported in 2 articles (5.7%), but no articles reported detailed data on how CT or MRI influenced pre-operative wrist arthrodesis and carpectomy procedure decision-making. A dozen different types of surgical techniques were reported. The four most common procedures were four-corner arthrodesis with scaphoid excision (846, 59%), proximal row carpectomy (239, 17%), total wrist arthrodesis (130, 9%), and scaphocapitate arthrodesis (53, 4%).

Conclusion

Radiography is always used in pre-operative decision-making, but the literature lacks data on the influence of CT and MRI for selecting among a dozen different types of wrist arthrodesis and carpectomy procedures.

中文翻译：

手术决策的术前影像学以及腕关节固定术和腕骨切除术的频率：范围界定审查

目标

我们的目标是 (1) 分析术前使用的影响腕关节固定术和腕骨切除术手术决策的成像方式，以及 (2) 确定这些治疗腕关节炎的手术的类型和频率。

材料和方法

本次审查是根据范围审查的 PRISMA 扩展指南进行的。使用 PubMed、Embase 和 Scopus，搜索了 2011 年至 2022 年的同行评审文献，以了解影像学在腕关节固定术和腕骨切除术手术的术前决策中的用途。汇编数据以确定术前使用的成像模式类型和文献中报道的手术技术类型。

结果

在确定的 307 篇文章中，有 35 篇文章符合资格标准，共有 1377 名患者（68% 男性；平均年龄，50.9 岁 [范围，10–81]）和 1428 例手腕手术干预。所有患者的所有文章均报告了 X 线照相用于术前计划。有 2 篇文章 (5.7%) 报道了术前横断面成像，但没有文章报道 CT 或 MRI 如何影响术前腕关节固定术和腕骨切除手术决策的详细数据。报告了十几种不同类型的手术技术。四种最常见的手术是带舟状骨切除术的四角关节固定术 (846, 59%)、近排腕骨切除术 (239, 17%)、全腕关节固定术 (130, 9%) 和舟骨关节固定术 (53, 4%)。