Risk factors for limited improvement after total trapeziometacarpal joint arthroplasty

Autor: Sebastian Breddam Mosegaard, Maiken Stilling, Torben Bæk Hansen
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Health and Quality of Life Outcomes, Vol 18, Iss 1, Pp 1-8 (2020)
Druh dokumentu: article
ISSN: 1477-7525
DOI: 10.1186/s12955-020-01333-z
Popis: Abstract Background Trapeziometacarpal (TMC) osteoarthritis can be painful and cause disability for patients. Total joint replacement of the TMC joint provides a pseudo arthrosis with good restoration of the thumb motion and pain relief in most patients. But there is also a risk of no improvement following the operation. The purpose of this study was to identify patients at risk of no clinically important improvement following operative treatment of osteoarthritis of the TMC joint. Methods We included 287 consecutive patients (225 women, 62 men) treated with total joint replacement of the TMC joint due to osteoarthritis with a mean age of 58.9 years (range 41–80) in a prospective cohort study. We collected information preoperatively and 12 months postoperatively on disabilities of the arm, shoulder and hand score (DASH), grip strength and pain at rest and activity on a visual analogue scale (VAS).Results: We found a statistically significant improvement in DASH from 42.0 to 15.9 (p
Databáze: Directory of Open Access Journals
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