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The effects of partial wrist denervation in wrist osteoarthritis: patient-reported outcomes and objective function

This prospective longitudinal study aimed to analyse the effect of partial wrist denervation on patient-reported outcomes, quality of life and objective function in symptomatic wrist osteoarthritis during the first year after surgery. Sixty consecutive patients underwent an anterior and posterior in...

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Autores principales: Swärd, Elin M., Franko, Mikael Andersson, Wilcke, Maria K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9459653/
https://www.ncbi.nlm.nih.gov/pubmed/35345931
http://dx.doi.org/10.1177/17531934221088498
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author Swärd, Elin M.
Franko, Mikael Andersson
Wilcke, Maria K.
author_facet Swärd, Elin M.
Franko, Mikael Andersson
Wilcke, Maria K.
author_sort Swärd, Elin M.
collection PubMed
description This prospective longitudinal study aimed to analyse the effect of partial wrist denervation on patient-reported outcomes, quality of life and objective function in symptomatic wrist osteoarthritis during the first year after surgery. Sixty consecutive patients underwent an anterior and posterior interosseous neurectomy during 2018–2020. Disabilities of the Arm, Shoulder and Hand, Patient-Rated Wrist Evaluation, EuroQol-5D-3L, pain at rest and on load, and objective function were assessed preoperatively and 3, 6 and 12 months postoperatively. Generalized estimating equations were used to analyse the effect on the outcome variables. Disabilities of the Arm, Shoulder and Hand, Patient-Rated Wrist Evaluation and pain scores improved significantly postoperatively with no decline over time, but no patient reported outcome measure reached the minimal clinically important difference. Quality of life, strength and range of motion did not improve. We found no complications. Seventeen patients needed further surgery during the study period. More studies are needed to evaluate whether denervation is truly effective or not. Level of evidence: II
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spelling pubmed-94596532022-09-10 The effects of partial wrist denervation in wrist osteoarthritis: patient-reported outcomes and objective function Swärd, Elin M. Franko, Mikael Andersson Wilcke, Maria K. J Hand Surg Eur Vol Full Length Article This prospective longitudinal study aimed to analyse the effect of partial wrist denervation on patient-reported outcomes, quality of life and objective function in symptomatic wrist osteoarthritis during the first year after surgery. Sixty consecutive patients underwent an anterior and posterior interosseous neurectomy during 2018–2020. Disabilities of the Arm, Shoulder and Hand, Patient-Rated Wrist Evaluation, EuroQol-5D-3L, pain at rest and on load, and objective function were assessed preoperatively and 3, 6 and 12 months postoperatively. Generalized estimating equations were used to analyse the effect on the outcome variables. Disabilities of the Arm, Shoulder and Hand, Patient-Rated Wrist Evaluation and pain scores improved significantly postoperatively with no decline over time, but no patient reported outcome measure reached the minimal clinically important difference. Quality of life, strength and range of motion did not improve. We found no complications. Seventeen patients needed further surgery during the study period. More studies are needed to evaluate whether denervation is truly effective or not. Level of evidence: II SAGE Publications 2022-03-28 2022-09 /pmc/articles/PMC9459653/ /pubmed/35345931 http://dx.doi.org/10.1177/17531934221088498 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Full Length Article
Swärd, Elin M.
Franko, Mikael Andersson
Wilcke, Maria K.
The effects of partial wrist denervation in wrist osteoarthritis: patient-reported outcomes and objective function
title The effects of partial wrist denervation in wrist osteoarthritis: patient-reported outcomes and objective function
title_full The effects of partial wrist denervation in wrist osteoarthritis: patient-reported outcomes and objective function
title_fullStr The effects of partial wrist denervation in wrist osteoarthritis: patient-reported outcomes and objective function
title_full_unstemmed The effects of partial wrist denervation in wrist osteoarthritis: patient-reported outcomes and objective function
title_short The effects of partial wrist denervation in wrist osteoarthritis: patient-reported outcomes and objective function
title_sort effects of partial wrist denervation in wrist osteoarthritis: patient-reported outcomes and objective function
topic Full Length Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9459653/
https://www.ncbi.nlm.nih.gov/pubmed/35345931
http://dx.doi.org/10.1177/17531934221088498
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