Long-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex.

PRWE Patient-Rated Wrist Evaluation TFCC Wrist immobilization knee long-term outcomes open reinsertion pain score patient-reported outcome measures (PROMs) prospective cohort study revision surgery standard deviation t-test triangular fibrocartilage triangular fibrocartilage complex wrist

Journal

Bone & joint open
ISSN: 2633-1462
Titre abrégé: Bone Jt Open
Pays: England
ID NLM: 101770336

Informations de publication

Date de publication:
Nov 2021
Historique:
entrez: 25 11 2021
pubmed: 26 11 2021
medline: 26 11 2021
Statut: ppublish

Résumé

Studies on long-term patient-reported outcomes after open surgery for triangular fibrocartilage complex (TFCC) are scarce. Surgeons and patients would benefit from self-reported outcome data on pain, function, complications, and satisfaction after this surgery to enhance shared decision-making. The aim of this study is to determine the long-term outcome of adults who had open surgery for the TFCC. A prospective cohort study that included patients with open surgery for the TFCC between December 2011 and September 2015. In September 2020, we sent these patients an additional follow-up questionnaire, including the Patient-Rated Wrist Evaluation (PRWE), to score satisfaction, complications, pain, and function. A total of 113 patients were included in the analysis. At ≥ 60 months after an open TFCC reinsertion, we found a mean PRWE total score of 19 (SD 21), a mean PRWE pain score of 11 (SD 11), and a PRWE function score of 9 (SD 10). The percentage of patients obtaining minimum clinically important difference rose from 77% at 12 months to 83% at more than 60 months (p < 0.001). Patients reported fewer complications than surgeons, and overall complication rate was low. Outcomes of patient-reported pain, function scores, and satisfaction are improved five years after open surgery for the TFCC. Cite this article:

Identifiants

pubmed: 34818898
doi: 10.1302/2633-1462.211.BJO-2021-0140.R1
pmc: PMC8636291
doi:

Types de publication

Journal Article

Langues

eng

Pagination

981-987

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Auteurs

Reinier Feitz (R)

Hand Surgery, Xpert Clinics, Amsterdam, Netherlands.
Department of Plastic, Reconstructive and Hand Surgery, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, Netherlands.

Sara Khoshnaw (S)

Hand Surgery, Xpert Clinics, Amsterdam, Netherlands.
Department of Plastic, Reconstructive, and Hand Surgery, Erasmus Medical Center, Rotterdam, Netherlands.

Mark J W van der Oest (MJW)

Hand Surgery, Xpert Clinics, Amsterdam, Netherlands.
Department of Plastic, Reconstructive, and Hand Surgery, Erasmus Medical Center, Rotterdam, Netherlands.
Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, Netherlands.

J Sebastiaan Souer (JS)

Hand Surgery, Xpert Clinics, Amsterdam, Netherlands.

Harm P Slijper (HP)

Hand Surgery, Xpert Clinics, Amsterdam, Netherlands.
Department of Plastic, Reconstructive, and Hand Surgery, Erasmus Medical Center, Rotterdam, Netherlands.

Steven E R Hovius (SER)

Hand Surgery, Xpert Clinics, Amsterdam, Netherlands.
Department of Plastic, Reconstructive and Hand Surgery, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, Netherlands.

Ruud W Selles (RW)

Department of Plastic, Reconstructive, and Hand Surgery, Erasmus Medical Center, Rotterdam, Netherlands.
Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, Netherlands.

Classifications MeSH