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. 2021 Nov;2(11):981-987.
doi: 10.1302/2633-1462.211.BJO-2021-0140.R1.

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

Reinier Feitz  1   2 , Sara Khoshnaw  1   3 , Mark J W van der Oest  1   3   4 , J Sebastiaan Souer  1 , Harm P Slijper  1   3 , Steven E R Hovius  1   2 , Ruud W Selles  3   4 ; Hand-Wrist Study Group
Affiliations

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

Reinier Feitz et al. Bone Jt Open. 2021 Nov.

Abstract

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.

Keywords: 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.

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Figures

Fig. 1
Fig. 1
Flowchart of the included patients with open surgery of the triangular fibrocartilage complex.
Fig. 2
Fig. 2
Patient-Rated Wrist Evaluation (PRWE) total score and subscore mean and standard deviation at baseline, 12 months, and ≥ 60 months postoperatively.
Fig. 3
Fig. 3
Individual Patient-Rated Wrist Evaluation (PRWE) total score at baseline, one year, and five years postoperatively.
Fig. 4
Fig. 4
Patient-reported satisfaction with the treatment result. Patients reported to be more satisfied at late follow-up.
See this image and copyright information in PMC

References

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