Long-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex
Aims: 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...
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The British Editorial Society of Bone & Joint Surgery
2021
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oai:doaj.org-article:ddb20db1144142aea7dfdb66b02661f22021-12-01T18:44:47ZLong-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex2633-146210.1302/2633-1462.211.BJO-2021-0140.R1https://doaj.org/article/ddb20db1144142aea7dfdb66b02661f22021-11-01T00:00:00Zhttps://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.211.BJO-2021-0140.R1https://doaj.org/toc/2633-1462Aims: 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. Methods: 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. Results: 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. Conclusion: Outcomes of patient-reported pain, function scores, and satisfaction are improved five years after open surgery for the TFCC. Cite this article: Bone Jt Open 2021;2(11):981–987.Reinier FeitzSara KhoshnawMark J. W. van der OestJ. Sebastiaan SouerHarm P. SlijperSteven E. R. HoviusRuud W. SellesOn behalf of the Hand-Wrist Study GroupThe British Editorial Society of Bone & Joint Surgeryarticletriangular fibrocartilage complextfccopen reinsertionwristlong-term outcomespatient-rated wrist evaluationprwetriangular fibrocartilagepatient-reported outcome measures (proms)wristprospective cohort studypain scorestandard deviationimmobilizationrevision surgeryt-testkneeOrthopedic surgeryRD701-811ENBone & Joint Open, Vol 2, Iss 11, Pp 981-987 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
triangular fibrocartilage complex tfcc open reinsertion wrist long-term outcomes patient-rated wrist evaluation prwe triangular fibrocartilage patient-reported outcome measures (proms) wrist prospective cohort study pain score standard deviation immobilization revision surgery t-test knee Orthopedic surgery RD701-811 |
| spellingShingle |
triangular fibrocartilage complex tfcc open reinsertion wrist long-term outcomes patient-rated wrist evaluation prwe triangular fibrocartilage patient-reported outcome measures (proms) wrist prospective cohort study pain score standard deviation immobilization revision surgery t-test knee Orthopedic surgery RD701-811 Reinier Feitz Sara Khoshnaw Mark J. W. van der Oest J. Sebastiaan Souer Harm P. Slijper Steven E. R. Hovius Ruud W. Selles On behalf of the Hand-Wrist Study Group Long-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex |
| description |
Aims: 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. Methods: 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. Results: 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. Conclusion: Outcomes of patient-reported pain, function scores, and satisfaction are improved five years after open surgery for the TFCC. Cite this article: Bone Jt Open 2021;2(11):981–987. |
| format |
article |
| author |
Reinier Feitz Sara Khoshnaw Mark J. W. van der Oest J. Sebastiaan Souer Harm P. Slijper Steven E. R. Hovius Ruud W. Selles On behalf of the Hand-Wrist Study Group |
| author_facet |
Reinier Feitz Sara Khoshnaw Mark J. W. van der Oest J. Sebastiaan Souer Harm P. Slijper Steven E. R. Hovius Ruud W. Selles On behalf of the Hand-Wrist Study Group |
| author_sort |
Reinier Feitz |
| title |
Long-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex |
| title_short |
Long-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex |
| title_full |
Long-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex |
| title_fullStr |
Long-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex |
| title_full_unstemmed |
Long-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex |
| title_sort |
long-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex |
| publisher |
The British Editorial Society of Bone & Joint Surgery |
| publishDate |
2021 |
| url |
https://doaj.org/article/ddb20db1144142aea7dfdb66b02661f2 |
| work_keys_str_mv |
AT reinierfeitz longtermpatientreportedoutcomesforopensurgeryofthetriangularfibrocartilagecomplex AT sarakhoshnaw longtermpatientreportedoutcomesforopensurgeryofthetriangularfibrocartilagecomplex AT markjwvanderoest longtermpatientreportedoutcomesforopensurgeryofthetriangularfibrocartilagecomplex AT jsebastiaansouer longtermpatientreportedoutcomesforopensurgeryofthetriangularfibrocartilagecomplex AT harmpslijper longtermpatientreportedoutcomesforopensurgeryofthetriangularfibrocartilagecomplex AT stevenerhovius longtermpatientreportedoutcomesforopensurgeryofthetriangularfibrocartilagecomplex AT ruudwselles longtermpatientreportedoutcomesforopensurgeryofthetriangularfibrocartilagecomplex AT onbehalfofthehandwriststudygroup longtermpatientreportedoutcomesforopensurgeryofthetriangularfibrocartilagecomplex |
| _version_ |
1718404725153464320 |