Patient-reported physical functioning and pain improve after scaphoid nonunion surgery: A Cohort Study

Area of Science:

• Orthopedic Surgery
• Hand Surgery
• Patient-Reported Outcomes

Background:

• Scaphoid nonunion surgery is standard to prevent osteoarthritis.
• Previous studies focused on union rates and physician outcomes.
• Patient expectations for function and pain post-surgery require clear reporting.

Purpose of the Study:

• To report changes in patient-reported outcomes after scaphoid nonunion surgery.
• To inform patients about expected postoperative physical functioning and pain levels.

Main Methods:

• Prospective data collection at Xpert Clinic, Netherlands.
• Included adult patients with scaphoid nonunion undergoing surgery.
• Assessed Patient Rated Hand/Wrist Evaluation (PRWHE), VAS pain/function, range of motion, and satisfaction.

Main Results:

• 118 patients completed preoperative and postoperative questionnaires (11-92 months).
• PRWHE scores significantly improved (median 47 to 11, p<0.001).
• Significant improvements in pain, disability, and patient satisfaction were observed; range of motion showed no difference.

Conclusions:

• Scaphoid nonunion surgery leads to improved physical functioning and reduced pain.
• The majority of patients are satisfied with surgical treatment results.