PDF(Pubmed)
Abstract：
UNASSIGNED: Trapeziectomy with tendon reconstruction/suspensionplasty (TRS) is the most commonly performed surgical procedure in the United States for treatment of thumb carpometacarpal (CMC) osteoarthritis (OA). Trapeziectomy with suture tape suspensionplasty (STS) has been used recently at the study institution as an alternative surgical treatment option with perceived benefits of earlier return to function and reduced operative time. The purpose of this study was to compare patient outcomes following TRS versus STS for treatment of thumb CMC OA.
UNASSIGNED: All patients who underwent primary, isolated TRS or STS for treatment of thumb CMC OA between 1/1/2014 and 9/1/2020 were analyzed. We assessed demographics and preoperative and postoperative patient-rated outcome scores including Patient-reported outcomes measurement information system scores as well as pain outcomes, satisfaction, and appearance at a mean of 2.6 years after surgery (minimum 6 months). Time to return to work and activities was compared between groups. Bivariate statistics compared outcomes between groups.
UNASSIGNED: Ninety-four patients were included in the final study cohort, of which 53 underwent TRS and 41 underwent STS. There were no differences in preoperative, postoperative, or final patient-rated outcome scores between groups. Patients reported high global and appearance satisfaction scores at final follow-up in both groups. Mean tourniquet time was 15 minutes (26%) shorter and return to work was on average 3 weeks faster for the STS group.
UNASSIGNED: There were no differences in postoperative patient-rated outcome scores between the STS and TRS groups. The STS group had a shorter surgical time and faster return-to-work after surgery.
UNASSIGNED: Therapeutic III.
UNASSIGNED: All patients who underwent primary, isolated TRS or STS for treatment of thumb CMC OA between 1/1/2014 and 9/1/2020 were analyzed. We assessed demographics and preoperative and postoperative patient-rated outcome scores including Patient-reported outcomes measurement information system scores as well as pain outcomes, satisfaction, and appearance at a mean of 2.6 years after surgery (minimum 6 months). Time to return to work and activities was compared between groups. Bivariate statistics compared outcomes between groups.
UNASSIGNED: Ninety-four patients were included in the final study cohort, of which 53 underwent TRS and 41 underwent STS. There were no differences in preoperative, postoperative, or final patient-rated outcome scores between groups. Patients reported high global and appearance satisfaction scores at final follow-up in both groups. Mean tourniquet time was 15 minutes (26%) shorter and return to work was on average 3 weeks faster for the STS group.
UNASSIGNED: There were no differences in postoperative patient-rated outcome scores between the STS and TRS groups. The STS group had a shorter surgical time and faster return-to-work after surgery.
UNASSIGNED: Therapeutic III.
摘要：
■带肌腱重建/悬吊成形术（TRS）的梯形切除术是美国最常用的手术方法，用于治疗拇指腕掌（CMC）骨关节炎（OA）。最近，在研究机构中使用了带有缝合带悬挂成形术（STS）的梯形切除术，作为一种替代的手术治疗选择，具有更早恢复功能和减少手术时间的好处。这项研究的目的是比较TRS和STS治疗拇指CMCOA的患者结果。
■所有接受原发性，分析2014年1月1日至2020年9月1日治疗拇指CMCOA的分离TRS或STS。我们评估了人口统计学和术前和术后患者评估结果评分，包括患者报告结果测量信息系统评分以及疼痛结果。满意,和外观在手术后平均2.6年（至少6个月）。比较两组之间返回工作和活动的时间。双变量统计比较了组间的结果。
■94名患者被纳入最终研究队列，其中53例接受了TRS，41例接受了STS。术前没有差异，术后,或组间最终患者评估结果评分。两组患者在最终随访时都报告了较高的总体和外观满意度得分。STS组的平均止血带时间缩短了15分钟（26％），恢复工作平均快3周。
■STS组和TRS组术后患者评分结果评分无差异。STS组手术时间较短，术后恢复工作较快。
■治疗III.
■所有接受原发性，分析2014年1月1日至2020年9月1日治疗拇指CMCOA的分离TRS或STS。我们评估了人口统计学和术前和术后患者评估结果评分，包括患者报告结果测量信息系统评分以及疼痛结果。满意,和外观在手术后平均2.6年（至少6个月）。比较两组之间返回工作和活动的时间。双变量统计比较了组间的结果。
■94名患者被纳入最终研究队列，其中53例接受了TRS，41例接受了STS。术前没有差异，术后,或组间最终患者评估结果评分。两组患者在最终随访时都报告了较高的总体和外观满意度得分。STS组的平均止血带时间缩短了15分钟（26％），恢复工作平均快3周。
■STS组和TRS组术后患者评分结果评分无差异。STS组手术时间较短，术后恢复工作较快。
■治疗III.
