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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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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 |
format | Online Article Text |
id | pubmed-9459653 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
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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