Feitz R, Stip D, van der Oest M, Souer S, Hovius S, Selles R, Blomme R, Sluijter B, van der Avoort D, Kroeze A, Smit J, Debeij J, Walbeehm E, van Couwelaar G, Vermeulen GM, de Schipper J, Temming J, van Uchelen J, de Boer H, de Haas K, Harmsen K, Zöphel O, Koch R, Moojen T, Smit X, van Huis R, Pennehouat P, Schoneveld K, van Kooij Y, Wouters R, Veltkamp J, Fink A, de Ridder W, Poelstra R, Slijper H, Selles R, Tsehaie J, Janssen M, Sun P, Schrier V, Hoogendam L, Dekker J, Jansen-Landheer M, Stege MT. Prognostic Factors in Open Triangular Fibrocartilage Complex (TFCC) Repair.
Journal of Hand Surgery Global Online 2021;
3:176-181. [PMID:
35415558 PMCID:
PMC8991529 DOI:
10.1016/j.jhsg.2021.05.005]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 05/08/2021] [Indexed: 11/17/2022] Open
Abstract
Purpose
Patients with triangular fibrocartilage complex (TFCC) injury report ulnar-sided wrist pain and impaired function. Open TFCC repair aims to improve the condition of these patients. Patients have shown reduction in pain and improvement in function at 12 months after surgery; however, results are highly variable. The purpose of this study was to relate patient (eg, age and sex), disease (eg, trauma history and arthroscopic findings), and surgery factors (type of bone anchor) associated with pain and functional outcomes at 12 months after surgery.
Methods
This study included patients who underwent an open TFCC repair between December 2011 and December 2018 in various Xpert Clinics in the Netherlands. All patients were asked to complete Patient-Rated Wrist Evaluation (PRWE) questionnaires at baseline as well as at 12 months after surgery. Patient, disease, and surgery factors were extracted from digital patient records. All factors were analyzed by performing a multivariable hierarchical linear regression.
Results
We included 274 patients who had received open TFCC repair and completed PRWE questionnaires. Every extra month of symptoms before surgery was correlated with an increase of 0.14 points on the PRWE total score at 12 months after surgery. In addition, an increase of 0.28 points in the PRWE total score at 12 months was seen per extra point of PRWE total score at baseline.
Conclusions
Increased preoperative pain, less preoperative function, and a longer duration of complaints are factors that were associated with more pain and less function at 12 months after open surgery for TFCC. This study arms surgeons with data to predict outcomes for patients undergoing open TFCC repair.
Type of study/level of evidence
Prognostic II.
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