Department of Orthopedics and Traumatology, Queen Margaret Hospital, Dunfermline, Whitefield Rd, Dunfermline KY12 0SU, United Kingdom; Fife Virtual Hand Clinic, United Kingdom.
Department of Orthopedics and Traumatology, Queen Margaret Hospital, Dunfermline, Whitefield Rd, Dunfermline KY12 0SU, United Kingdom.
Hand Surg Rehabil. 2021 Jun;40(3):343-346. doi: 10.1016/j.hansur.2020.12.005. Epub 2021 Jan 2.
The primary aim was to determine the improvement in patient-reported functional outcomes (PROMs) following extensor indicis proprius (EIP) transfer for a closed rupture of the extensor pollicis longus (EPL) tendon. Secondary aims were to analyze the impact of this procedure on health-related quality of life (HRQoL) and satisfaction. Preoperative and one-year postoperative PROMs were collected prospectively at a single institution over a two-year period (2014-2016). The primary outcome measure was the QuickDASH score. Patients also completed satisfaction scores, and the EQ-5D-5L score was used to evaluate HRQoL. Paired data was available for 12 patients (92%) at mean 19 months following surgery. A statistically-significant improvement in mean QuickDASH score was observed from 29.7 (SD: 21.7) preoperatively to 15.2 (SD: 16.4) postoperatively (p?=?0.05). Nine patients reported an improvement, one patient reported no change, and the remaining two reported deterioration in QuickDASH score. Median EQ-5D-5L improved significantly from 0.82 (IQR: 0.71 - 1.0) to 0.93 (0.77 to 1.0) postoperatively (p?<?0.05). Eleven patients were satisfied and no complications were reported. This study has demonstrated an improvement in upper-limb specific function and HRQoL following EIP transfer for rupture of the EPL. This procedure was also associated with a low rate of complications and a high rate of patient satisfaction. LEVEL OF EVIDENCE: III (cohort study).
主要目的是确定伸肌指示肌（EIP）转移治疗拇长展肌（EPL）肌腱闭合性撕裂后患者报告的功能结局（PROMs）的改善。次要目的是分析该手术对健康相关生活质量（HRQoL）和满意度的影响。在两年期间（2014-2016 年），在一家机构前瞻性地收集了术前和术后一年的 PROMs。主要的结局测量是 QuickDASH 评分。患者还完成了满意度评分，并且使用 EQ-5D-5L 评分来评估 HRQoL。在手术平均 19 个月时，12 名患者（92%）可获得配对数据。从术前的 29.7（标准差：21.7）到术后的 15.2（标准差：16.4），平均 QuickDASH 评分有统计学显著改善（p=0.05）。9 名患者报告有所改善，1 名患者报告无变化，其余 2 名患者报告 QuickDASH 评分恶化。EQ-5D-5L 的中位数从 0.82（四分位距：0.71-1.0）显著改善到术后的 0.93（0.77-1.0）（p<?0.05）。11 名患者满意，无并发症报告。本研究表明，EIP 转移治疗 EPL 撕裂后，上肢特定功能和 HRQoL 得到改善。该手术还与并发症发生率低和患者满意度高相关。证据水平：III 级（队列研究）。
