Abstract
BackgroundThe aim of the study was to evaluate patient reported outcome measures (PROM) before and after trapeziectomy with or without ligament reconstruction and tendon interposition for trapeziometacarpal joint arthritis with special focus on possible differences due to gender, age and surgical method.MethodsData from the Swedish quality registry for hand surgery (HAKIR) was analyzed preoperatively, 3 months and 1 year postoperatively for 1850 patients (mean age 63 years, 79% women).ResultsOne year postoperatively, mean pain at rest was reduced from 50 to 12 of maximum 100. However, pain on load and weakness had not abated to the same extent (mean 30 and 34 of 100, respectively). The mean improvement in PROM did not differ between age groups or gender. The result was similar after trapeziectomy with ligament reconstruction and tendon interposition (86% of the patients) and simple trapeziectomy but few patients were operated with the latter method.ConclusionPain on load and weakness remains to some extent 1 year after surgery for trapeziometacarpal joint arthritis. The result is similar after trapeziectomy with or without ligament reconstruction and tendon interposition and the same improvement can be expected after surgery regardless of age and gender.
Highlights
The aim of the study was to evaluate patient reported outcome measures (PROM) before and after trapeziectomy with or without ligament reconstruction and tendon interposition for trapeziometacarpal joint arthritis with special focus on possible differences due to gender, age and surgical method
When non-operative treatment is insufficient, trapeziectomy with ligament reconstruction and tendon interposition (LRTI) still remains the dominant surgical method, the literature has not shown any advantages compared to simple trapeziectomy [3,4,5,6,7]
The primary aim of this study was to evaluate what effect trapeziectomy with or without LRTI have on The HAKIR 8-item questionnaire (HQ-8) and QuickDASH scores in a large cohort of patients with trapeziometacarpal joint (TMJ) osteoarthritis, with special focus on possible gender and age differences
Summary
The aim of the study was to evaluate patient reported outcome measures (PROM) before and after trapeziectomy with or without ligament reconstruction and tendon interposition for trapeziometacarpal joint arthritis with special focus on possible differences due to gender, age and surgical method. The registry is named HAKIR and includes all operations performed at the seven specialist departments of hand surgery in Sweden, as well as two private units. PROM questionnaires are issued to all operated patients before, as well as 3 and 12 months after surgery and include the QuickDASH [12] and an eight-item questionnaire (HQ-8) with seven questions rating perceived symptoms in the operated hand (pain on load, pain on motion without load, pain at rest, stiffness, weakness, numbness and cold sensitivity) and one question about the ability to perform activities of daily living (ADL) (Additional file 1). The responses are used as single items and are not calculated
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
