The long-term outcome of simple trapeziectomy
Autor: | O. D. Stone, Paul J. Jenkins, Jane E McEachan, Thomas F M Yeoman |
---|---|
Rok vydání: | 2018 |
Předmět: |
Male
medicine.medical_specialty 030230 surgery Outcome (game theory) 03 medical and health sciences Disability Evaluation 0302 clinical medicine Osteoarthritis Medicine Humans Patient Reported Outcome Measures Aged Retrospective Studies Aged 80 and over 030222 orthopedics business.industry Carpometacarpal Joints Middle Aged Single surgeon Surgery Term (time) Trapezium Bone Case-Control Studies Female business |
Zdroj: | The Journal of hand surgery, European volume. 44(2) |
ISSN: | 2043-6289 |
Popis: | The aim of this study was to investigate the long-term outcome of simple trapeziectomy by a single surgeon and to compare this with pre-operative function. Two hundred and five patients completed the shortened disabilities of the arm, shoulder and hand questionnaire (QuickDASH) and the EuroQoL five-dimensional questionnaire (EQ-5D) scores at a mean of 8.2 (range 3.5–17) years after simple trapeziectomy. There were no pre-operative scores available, so case controls were selected from our prospective database to compare pre- and post-operative patient-reported outcome measures. The mean QuickDASH score of the post-operative matched group was 37 (SD 17.0) and the mean EQ-5D was 0.56 (SD 0.31). The mean QuickDASH score of the pre-operative group was 54 (SD 17.0). The mean difference in QuickDASH between the pre- and post-operative groups was 17 (95% CI: 8 to 26, p = 0.0003). This study demonstrated a significant and sustained improvement in patient-reported function after simple trapeziectomy. It supports that simple trapeziectomy is a simple, safe and effective treatment for advanced trapeziometacarpal joint arthritis. Level of evidence: IV |
Databáze: | OpenAIRE |
Externí odkaz: |
načítá se...