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功能恢复和患者报告的结局后,手腕全关节形:长达十年的随访

Mohamad Khaled Ghannam¹, Victor Rutka¹, Louis Ducharne¹

¹Hôpital Edouard Herriot, Hospices Civil de Lyon, 5 place d'Arsonval, 69003 Lyon, France.

Hand surgery & rehabilitation

|November 16, 2025

概括

整体手腕关节切除 (TWA) 提供了高的患者满意度,尽管减少了移动性,与保持心理健康. 适当的手术前咨询对于管理TWA手术后的期望至关重要.

科学领域:

整形外科手术整形外科手术
手和手腕手术手术手术
患者报告的结果

背景情况:

整体手腕关节切除 (TWA) 是一种手术,用于治疗晚期手腕疾病.
评估患者报告的结果 (PROM) 和TWA后的生活质量是很重要的.

研究的目的:

评估患者报告的结果,持续的投诉和TWA后的生活质量.
分析TWA后的功能限制和满意度.

主要方法:

对28名接受背板TWA的患者进行了回顾性多中心队列研究.
使用了整体主观自我评估 (OSSA),QuickDASH,PRWE,VAS,SF-36,握力和满意度调查.

主要成果:

平均116个月的随访显示了中等的OSSA分数 (5/10),主要的抱怨是流动性减少.
患者报告疼痛低 (VAS2) 和高满意度 (8/10),尽管有功能限制 (QuickDASH/PRWE 42) 和55%的握力.
虽然SF-36的身体成绩低于一般人群,但精神健康状况保持不变.

结论:

尽管有不动性相关的投诉,TWA表现出高的患者接受度和适应度.
术前咨询对于使患者的期望与TWA结果保持一致至关重要.
这项研究强调了管理TWA成功恢复的期望的重要性.

关键词:

功能性评估是一种功能性评估.这些是PROMs.生活质量生活的质量.整体手腕关节切除术

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