Level of evidence in wrist ligament repair and reconstruction research: a systematic review

Abstract There have been numerous studies on surgery of wrist ligament injuries, but a quick assessment reveals few with a high level of evidence (LoE). The primary aim of this study was to categorize the study type and LoE of studies on repair and reconstruction of the scapholunate ligament, the lu...

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Main Authors: Jonny K. Andersson, Bo Rööser, Jón Karlsson
Format: Article
Language:English
Published: Wiley 2018-06-01
Series:Journal of Experimental Orthopaedics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40634-018-0135-7
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author Jonny K. Andersson
Bo Rööser
Jón Karlsson
author_facet Jonny K. Andersson
Bo Rööser
Jón Karlsson
author_sort Jonny K. Andersson
collection DOAJ
description Abstract There have been numerous studies on surgery of wrist ligament injuries, but a quick assessment reveals few with a high level of evidence (LoE). The primary aim of this study was to categorize the study type and LoE of studies on repair and reconstruction of the scapholunate ligament, the lunotriquetral ligament and the triangular fibrocartilage complex by applying the LoE rating system proposed by the Oxford Centre for Evidence-Based Medicine. The secondary aims were to evaluate the journal- and geographic- distribution of the included studies. An electronic literature search of articles published 1985–2016, in PubMed, Embase, and Cochrane Library was carried out in May 2016 and updated in April 2017. Therapeutic studies written in English were included. The PRISMA checklist guided the extraction and reporting of data. A total of 1889 studies were analyzed, of which 362 were included. Three journals represented 40% of the included studies and American authors dominated. Most studies (97%) had low LoE (IV-V). No studies of LoE I-II were found. There is insufficient evidence to recommend one technique over the other in terms of wrist ligament surgery in clinical practice. There is an immense lack of comparison studies with high level of evidence in the area of wrist ligament repair and reconstruction.
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spelling doaj.art-e5612f1c94324f779bc5ee4a0f64354a2024-04-03T08:58:25ZengWileyJournal of Experimental Orthopaedics2197-11532018-06-01511810.1186/s40634-018-0135-7Level of evidence in wrist ligament repair and reconstruction research: a systematic reviewJonny K. Andersson0Bo RööserJón Karlsson1Department of Hand Surgery, SportsMed, Carlanderska HospitalDepartment of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of GothenburgAbstract There have been numerous studies on surgery of wrist ligament injuries, but a quick assessment reveals few with a high level of evidence (LoE). The primary aim of this study was to categorize the study type and LoE of studies on repair and reconstruction of the scapholunate ligament, the lunotriquetral ligament and the triangular fibrocartilage complex by applying the LoE rating system proposed by the Oxford Centre for Evidence-Based Medicine. The secondary aims were to evaluate the journal- and geographic- distribution of the included studies. An electronic literature search of articles published 1985–2016, in PubMed, Embase, and Cochrane Library was carried out in May 2016 and updated in April 2017. Therapeutic studies written in English were included. The PRISMA checklist guided the extraction and reporting of data. A total of 1889 studies were analyzed, of which 362 were included. Three journals represented 40% of the included studies and American authors dominated. Most studies (97%) had low LoE (IV-V). No studies of LoE I-II were found. There is insufficient evidence to recommend one technique over the other in terms of wrist ligament surgery in clinical practice. There is an immense lack of comparison studies with high level of evidence in the area of wrist ligament repair and reconstruction.http://link.springer.com/article/10.1186/s40634-018-0135-7Scapholunate ligamentLunotriquetral ligamentTriangular Fibrocartilage complexRepairLevel of evidenceImpact factor
spellingShingle Jonny K. Andersson
Bo Rööser
Jón Karlsson
Level of evidence in wrist ligament repair and reconstruction research: a systematic review
Journal of Experimental Orthopaedics
Scapholunate ligament
Lunotriquetral ligament
Triangular Fibrocartilage complex
Repair
Level of evidence
Impact factor
title Level of evidence in wrist ligament repair and reconstruction research: a systematic review
title_full Level of evidence in wrist ligament repair and reconstruction research: a systematic review
title_fullStr Level of evidence in wrist ligament repair and reconstruction research: a systematic review
title_full_unstemmed Level of evidence in wrist ligament repair and reconstruction research: a systematic review
title_short Level of evidence in wrist ligament repair and reconstruction research: a systematic review
title_sort level of evidence in wrist ligament repair and reconstruction research a systematic review
topic Scapholunate ligament
Lunotriquetral ligament
Triangular Fibrocartilage complex
Repair
Level of evidence
Impact factor
url http://link.springer.com/article/10.1186/s40634-018-0135-7
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