Abstract：
OBJECTIVE: The purpose of this study was to assess the patient experience of trapeziectomy under WALANT for trapeziometacarpal joint (TMJ) osteoarthritis (OA) in a prospective study with 2-year follow-up.
METHODS: The study included 23 patients with TMJ OA undergoing trapeziectomy with WALANT. All patients were seen by a hand therapist preoperatively and at 3, 12, and 24 months postoperatively. At each visit, VAS pain scores, thumb range of motion, grip strength, and Disabilities of the Arm, Shoulder and Hand (DASH) score were assessed. The Picker Patient Experience (PPE-15) questionnaire was administered within 2 weeks of surgery.
RESULTS: All 23 patients completed the PPE-15 questionnaire. Their mean age was 64 years. The 21 patients who remained at the 24-month follow-up all said they would choose the same anaesthesia method again. At this follow-up, VAS pain scores, thumb range of motion, key pinch grip and DASH scores had improved significantly, while thumb opposition and hand grip strength remained largely unchanged. The majority of patients felt well informed before and during the procedure, and all patients rated pain relief as good or satisfactory. Nearly 40% of patients reported receiving inadequate information about the postoperative medications.
CONCLUSIONS: Patients have a positive attitude to trapeziectomy with WALANT, and seem to prefer WALANT over other methods of anaesthesia. Trapeziectomy with WALANT for TMJ OA is a safe procedure and appears to give a functional outcome similar to trapeziectomy under general anaesthesia.
CONCLUSIONS: Trapeziectomy with WALANT for TMJ OA is safe, preferred by patients and has similar clinical outcome as trapeziectomy in general anesthesia.
BACKGROUND: trapeziectomy, osteoarthritis, WALANT.
METHODS: The study included 23 patients with TMJ OA undergoing trapeziectomy with WALANT. All patients were seen by a hand therapist preoperatively and at 3, 12, and 24 months postoperatively. At each visit, VAS pain scores, thumb range of motion, grip strength, and Disabilities of the Arm, Shoulder and Hand (DASH) score were assessed. The Picker Patient Experience (PPE-15) questionnaire was administered within 2 weeks of surgery.
RESULTS: All 23 patients completed the PPE-15 questionnaire. Their mean age was 64 years. The 21 patients who remained at the 24-month follow-up all said they would choose the same anaesthesia method again. At this follow-up, VAS pain scores, thumb range of motion, key pinch grip and DASH scores had improved significantly, while thumb opposition and hand grip strength remained largely unchanged. The majority of patients felt well informed before and during the procedure, and all patients rated pain relief as good or satisfactory. Nearly 40% of patients reported receiving inadequate information about the postoperative medications.
CONCLUSIONS: Patients have a positive attitude to trapeziectomy with WALANT, and seem to prefer WALANT over other methods of anaesthesia. Trapeziectomy with WALANT for TMJ OA is a safe procedure and appears to give a functional outcome similar to trapeziectomy under general anaesthesia.
CONCLUSIONS: Trapeziectomy with WALANT for TMJ OA is safe, preferred by patients and has similar clinical outcome as trapeziectomy in general anesthesia.
BACKGROUND: trapeziectomy, osteoarthritis, WALANT.
摘要：
目的：本研究的目的是评估患者在WALANT下进行斜骨掌关节（TMJ）骨性关节炎（OA）治疗的经验。
方法：该研究包括23例接受WALANT梯形切除术的TMJOA患者。所有患者均在术前以及术后3、12和24个月由手部治疗师就诊。每次访问,VAS疼痛评分,拇指的运动范围，握力,和手臂的残疾，评估肩和手（DASH）评分。在手术后2周内进行Picker患者体验（PPE-15）问卷调查。
结果：所有23名患者完成了PPE-15问卷。他们的平均年龄是64岁。21名仍在24个月随访的患者都表示，他们将再次选择相同的麻醉方法。在这次后续行动中，VAS疼痛评分,拇指的运动范围，键夹握力和DASH评分有显著提高，而拇指反对和手的握力基本保持不变。大多数患者在手术前和手术中都有充分的信息，所有患者都认为疼痛缓解良好或令人满意。近40％的患者报告收到的关于术后药物的信息不足。
结论：患者对WALANT进行梯形切除术持积极态度，似乎更喜欢WALANT而不是其他麻醉方法。使用WALANT治疗TMJOA的梯形切除术是一种安全的手术，并且在全身麻醉下似乎具有与梯形切除术相似的功能结果。
结论：使用WALANT进行TMJOA的梯形切除术是安全的，患者首选，并且在全身麻醉中具有与梯形切除术相似的临床结果。
背景：梯形切除术，骨关节炎,保镖.
方法：该研究包括23例接受WALANT梯形切除术的TMJOA患者。所有患者均在术前以及术后3、12和24个月由手部治疗师就诊。每次访问,VAS疼痛评分,拇指的运动范围，握力,和手臂的残疾，评估肩和手（DASH）评分。在手术后2周内进行Picker患者体验（PPE-15）问卷调查。
结果：所有23名患者完成了PPE-15问卷。他们的平均年龄是64岁。21名仍在24个月随访的患者都表示，他们将再次选择相同的麻醉方法。在这次后续行动中，VAS疼痛评分,拇指的运动范围，键夹握力和DASH评分有显著提高，而拇指反对和手的握力基本保持不变。大多数患者在手术前和手术中都有充分的信息，所有患者都认为疼痛缓解良好或令人满意。近40％的患者报告收到的关于术后药物的信息不足。
结论：患者对WALANT进行梯形切除术持积极态度，似乎更喜欢WALANT而不是其他麻醉方法。使用WALANT治疗TMJOA的梯形切除术是一种安全的手术，并且在全身麻醉下似乎具有与梯形切除术相似的功能结果。
结论：使用WALANT进行TMJOA的梯形切除术是安全的，患者首选，并且在全身麻醉中具有与梯形切除术相似的临床结果。
背景：梯形切除术，骨关节炎,保镖.
