Palavras-chave
Ossos do Carpo
Osso Escafoide
Osso Semilunar
Procedimentos Ortopédicos
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Resumo
Objetivo: Analisar sistematicamente a literatura científica acerca das técnicas cirúrgicas utilizadas no tratamento das lesões crônicas do ligamento escafolunar, sintetizando os desfechos relacionados à dor, força, amplitude de movimento, função, parâmetros radiográficos e complicações. Métodos: Trata-se de uma revisão sistemática conduzida conforme as diretrizes PRISMA 2020, com registro no PROSPERO (CRD420251086731). Foi realizada busca abrangente nas bases MEDLINE/PubMed, LILACS, CENTRAL, Web of Science, Embase, Scopus e SciELO, complementada por literatura cinzenta. Foram incluídos estudos com adultos (>18 anos) portadores de lesões crônicas do ligamento escafolunar submetidos a tratamento cirúrgico, com seguimento mínimo de três meses e avaliação objetiva dos desfechos. Resultados: Dos 1.385 registros identificados, 39 estudos foram incluídos, totalizando 1.364 pacientes. Predominaram séries de casos, seguidas por estudos de coorte e um ensaio clínico randomizado. As principais técnicas foram capsulodese, tenodese, procedimentos combinados e artrodeses parciais. Observou-se redução da dor e melhora funcional, porém com comprometimento parcial da amplitude de movimento e perda progressiva da estabilidade radiográfica em longo prazo. Considerações finais: Nenhuma técnica cirúrgica pode ser considerada padrão-ouro para lesões crônicas do ligamento escafolunar, evidenciando a necessidade de ensaios clínicos randomizados.
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