A comprehensive analysis of medium-term outcomes of open first dorsal compartment release for de Quervain's syndrome.

Autor: Stirling PHC; Queen Margaret Hospital, Whitefield Road, Dunfermline, KY12 0SU, United Kingdom; Fife Virtual Hand Clinic, https://fifevirtualhandclinic.co.uk/. Electronic address: phcstirling@gmail.com., Robertson FM; Queen Margaret Hospital, Whitefield Road, Dunfermline, KY12 0SU, United Kingdom., McEachan JE; Queen Margaret Hospital, Whitefield Road, Dunfermline, KY12 0SU, United Kingdom; Fife Virtual Hand Clinic, https://fifevirtualhandclinic.co.uk/.
Jazyk: angličtina
Zdroj: Hand surgery & rehabilitation [Hand Surg Rehabil] 2021 Feb; Vol. 40 (1), pp. 40-43. Date of Electronic Publication: 2020 Oct 21.
DOI: 10.1016/j.hansur.2020.10.004
Abstrakt: The primary aim of this study is to describe medium-term functional outcomes following first dorsal compartment decompression using a longitudinal incision in patients with de Quervain's syndrome. The secondary aims are to describe the improvement in health-related quality of life and patient satisfaction, and to determine the cost-effectiveness of this procedure. Pre- and postoperative QuickDASH, EQ-5D-5 L, and satisfaction scores were collected prospectively over five years. Paired data were available for 36 patients (90% at mean 32 months follow-up). The median QuickDASH score improved significantly from 50 to 9.1 (p < 0.01). Median EQ-5D-5L index scores improved from 0.65 preoperatively to 0.73 (p = 0.03). The satisfaction rate was 97% and there were no cases of superficial radial nerve injury or neuroma. The cost per quality-adjusted life year gained was £356 (€398; $449). First dorsal compartment release using a longitudinal incision results in a significant improvement in function, with high levels of patient satisfaction, and low complication rates. In addition, health economic analysis revealed that this is a cost-effective procedure for the treatment of de Quervain's syndrome. LEVEL OF EVIDENCE: III (cohort study).
(Copyright © 2020 SFCM. Published by Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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