翻斗式拇指：是否再植。

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Plast Reconstr Surg. 2021 Sep 1;148(3):382e-388e. doi: 10.1097/PRS.0000000000008253.

BACKGROUND

This study investigated patient-reported outcomes after surgical treatment of rodeo thumb amputation to guide clinical decision-making.

METHODS

A retrospective review was performed for rodeo thumb amputations from 2009 to 2019. Patient-reported outcomes were collected and compared by injury level, age, and treatment. Two-sided t test was used to compare continuous variables, and Pearson chi-square test was used to compare categorical data.

RESULTS

The study included 37 patients. Patients with interphalangeal injuries treated with replantation had Quick Disabilities of the Arm, Shoulder and Hand questionnaire scores similar to those treated with amputation (1 versus 8; p = 0.07). There was no significant difference in percentage of patients with similar or better roping ability after treatment (40 percent versus 79 percent; p = 0.26), and similar percentages were satisfied (80 percent versus 71 percent; p = 1.00). Patients with metacarpophalangeal injuries treated with replantation and those treated with amputation had similar questionnaire scores (7 versus 10; p = 0.47). Both groups had similar roping ability after treatment (67 percent versus 56 percent; p = 1.00), and there was no statistically significant difference in satisfaction (79 percent versus 44 percent; p = 0.34). Pediatric patients had questionnaire scores similar to those of adults (6 versus 8; p = 0.42). A significantly higher percentage of pediatric patients had similar roping ability following injury than adults (100 percent versus 54 percent; p = 0.02). Most patients in both groups were satisfied (89 percent versus 61 percent; p = 0.22).

CONCLUSIONS

For both interphalangeal and metacarpophalangeal injuries, patient-reported outcomes were similar regardless of treatment. Children were able to return to roping and perform at a similar or higher level at a greater rate than adults, but had similar questionnaire scores and satisfaction.

背景

本研究旨在探讨 Rodeo 拇指离断伤患者的术后报告结局，以为临床决策提供参考。

方法

对 2009 年至 2019 年 Rodeo 拇指离断伤患者进行回顾性研究。收集并比较了不同损伤程度、年龄和治疗方法患者的报告结局。采用两样本 t 检验比较连续变量，采用 Pearson 卡方检验比较分类变量。

结果

共纳入 37 例患者。指间关节损伤患者接受再植术和接受离断术的患者的手臂、肩部和手残疾问卷（Quick Disabilities of the Arm, Shoulder and Hand questionnaire）评分相似（1 分比 8 分；p = 0.07）。治疗后具有相似或更好的套索能力的患者比例无显著差异（40%比 79%；p = 0.26），满意度相似（80%比 71%；p = 1.00）。掌指关节损伤患者接受再植术和接受离断术的患者的问卷评分相似（7 分比 10 分；p = 0.47）。两组患者治疗后的套索能力相似（67%比 56%；p = 1.00），满意度无显著差异（79%比 44%；p = 0.34）。儿科患者的问卷评分与成人相似（6 分比 8 分；p = 0.42）。受伤后具有相似套索能力的儿科患者比例显著高于成人（100%比 54%；p = 0.02）。两组患者的大多数患者均表示满意（89%比 61%；p = 0.22）。