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在大多角骨-第一掌骨骨关节炎中,治疗的积极体验与更好的手术结果相关。

Positive experience with treatment is associated with better surgical outcome in trapeziometacarpal osteoarthritis.

作者信息

Tsehaie Jonathan, van der Oest Mark J W, Poelstra Ralph, Selles Ruud W, Feitz Reinier, Slijper Harm P, Hovius Steven E R, Porsius Jarry T

机构信息

1 Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC Rotterdam, The Netherlands.

2 Hand and Wrist Surgery, Xpert Clinic, The Netherlands.

出版信息

J Hand Surg Eur Vol. 2019 Sep;44(7):714-721. doi: 10.1177/1753193419851777. Epub 2019 Jun 1.

Abstract

The aim of this study was to investigate the association between patients' experiences with trapeziometacarpal arthroplasty and treatment outcomes in terms of patient-reported outcome measures, grip and pinch strength. We included 233 patients who received a Weilby procedure for trapeziometacarpal osteoarthritis. Before surgery and 12 months after surgery, patients completed the Michigan Hand Outcomes Questionnaire, and their pinch and grip strengths were measured. At 3 months after surgery, a patient-reported experience measure was completed. Using regression analysis, significantly positive associations were found between the Michigan Hand questionnaire and the patient-reported experience measure, with the strongest significant associations being for patients' experiences with information provision. No significant associations were found between the patients' experience and strength outcomes. The results highlight the potential importance of positive experience with the treatment process to improve treatment outcomes in patients undergoing surgery for trapeziometacarpal osteoarthritis. IV.

摘要

本研究的目的是根据患者报告的结局指标、握力和捏力,调查患者在大多角骨-第一掌骨置换术中的体验与治疗结果之间的关联。我们纳入了233例接受韦尔比手术治疗大多角骨-第一掌骨骨关节炎的患者。在手术前和手术后12个月,患者完成密歇根手部结局问卷,并测量其捏力和握力。在手术后3个月,完成一份患者报告的体验测量。通过回归分析,发现密歇根手部问卷与患者报告的体验测量之间存在显著正相关,其中最显著的关联是患者在信息提供方面的体验。患者体验与力量结果之间未发现显著关联。结果强调了治疗过程中的积极体验对于改善接受大多角骨-第一掌骨骨关节炎手术患者的治疗结果的潜在重要性。 四、

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fccd/6696737/c1e3fa5b839f/10.1177_1753193419851777-fig1.jpg

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