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Abstract：
Background Vaughan-Jackson syndrome (VJS) is the attritional rupture of the extensor tendons secondary to arthritis or inflammation affecting the distal radioulnar joint. The surgical outcomes following Darrach\'s procedure and tendon transfers are not well described. The primary aim of this study was to report patient-reported functional outcome measures after surgery for VJS. Secondary aims were to report health-related quality-of-life scores, patient satisfaction, and complications Methods A single-center retrospective study was performed to identify patients who underwent surgical intervention for the management of VJS. Patient-reported outcomes were measured using the Patient-Rated Wrist and Hand Evaluation (PRWHE), Quick version of the Disability of the Arm, Shoulder, and Hand (QuickDASH), EuroQoL 5-dimensions 5-Likert (EQ-5D-5L), and calculation of the Net Promoter Score (NPS). Results We report postoperative patient-reported functional outcome measures for 12 cases of VJS treated with distal ulna excision and extensor tendon transfer. The mean age was 69 years (range: 45-87 years; standard deviation [SD]: 14.1), and eight patients were females. Five patients had rheumatoid arthritis, and there was one case each of seronegative polyarthritis, ankylosing spondylitis, and CREST (calcinosis, Raynaud phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia.) syndrome; the rest of the patients had osteoarthritis. At a mean of 53 months of follow-up, the mean PRWHE score was 34.5 (SD: 17.9), the mean QuickDASH score was 28.2 (SD: 18.6), and the mean EQ-5D-5L score was 0.71 (SD: 0.203). Ten patients were satisfied and the NPS was 42. Postoperatively eight patients had pain scores reported as none or mild, three as moderate, and one as severe. Two patients required further operations, both undergoing total wrist arthrodesis. Conclusion Although a degree of functional deficit persists after Darrach\'s procedure and tendon transfer for treatment of VJS, there are also high levels of patient satisfaction, a good NPS, and a low rate of operative reintervention. Level IV evidence.
摘要：
背景：Vaughan-Jackson综合征（VJS）是继发于关节炎或炎症的伸肌腱的磨损性断裂，影响了远端尺尺关节。Darrach手术和肌腱转移后的手术结果没有得到很好的描述。这项研究的主要目的是报告VJS手术后患者报告的功能结局指标。次要目标是报告与健康相关的生活质量得分，患者满意度,方法进行单中心回顾性研究,以确定接受VJS治疗的患者。患者报告的结果使用患者额定腕部和手部评估（PRWHE）进行测量，手臂残疾的快速版本，肩膀,手（QuickDASH）EuroQoL5维5-Likert（EQ-5D-5L），并计算净发起人得分(NPS)。结果我们报告了12例接受尺骨远端切除和伸肌腱转移治疗的VJS术后患者报告的功能结局指标。平均年龄为69岁（范围：45-87岁；标准偏差[SD]：14.1），八名患者是女性。五名病人有类风湿性关节炎,血清阴性多关节炎各一例，强直性脊柱炎,和CREST(钙质沉着，雷诺现象,食管运动障碍,sclerodactyly，和毛细血管扩张.）综合征；其余患者患有骨关节炎。平均随访53个月，平均PRWHEE评分为34.5（SD：17.9），平均QuickDASH得分为28.2（SD：18.6），平均EQ-5D-5L评分为0.71(SD:0.203)。10例患者满意，NPS为42。术后有8例患者的疼痛评分报告为无或轻度，三是适度，和一个一样严重。两名患者需要进一步手术，均接受全腕关节固定术。结论虽然在Darrach手术和肌腱转移治疗VJS后仍存在一定程度的功能缺陷,患者满意度也很高，一个好的NPS,手术再干预率低。四级证据。
