The Journal of hand surgery, European volume · 2025
Long-term patient reported outcomes and quality of life after syndactyly separation.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Nietosvaara Noora, Kämppä Niko, Nietosvaara Yrjänä, Grahn Petra
Аннотация
INTRODUCTION: We assessed the long-term quality of life, cosmesis and pain after childhood syndactyly separation.
METHODS: A retrospective review identified 155 patients (⩾10-year follow-up) of whom 76 participated with a median follow-up period of 18.2 years (IQR 12.4 to 38.3). Patient-reported outcomes were assessed using the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire, EuroQol-5 Dimension-5 Level, and visual analogue scales (0-10) for function, cosmesis and pain.
RESULTS: Uncomplicated cases had significantly better patient reported outcomes (0 vs. 11.4 and 1.0 vs. 0.89; p < 0.01), and higher functional scores (9.0 vs. 7.0, p < 0.05) and cosmetic scores (8.2 vs. 7.0, p > 0.05). Complicated cases presented with more cold intolerance (58 vs. 14%, p < 0.01). Pain scores were similar in both groups, with 16-18% reporting some pain in the past week.
CONCLUSION: Syndactyly reconstruction yields satisfactory subjective long-term outcomes. Complicated cases had poorer function and more cold sensitivity but remained overall favorable.
LEVEL OF EVIDENCE: IV.
METHODS: A retrospective review identified 155 patients (⩾10-year follow-up) of whom 76 participated with a median follow-up period of 18.2 years (IQR 12.4 to 38.3). Patient-reported outcomes were assessed using the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire, EuroQol-5 Dimension-5 Level, and visual analogue scales (0-10) for function, cosmesis and pain.
RESULTS: Uncomplicated cases had significantly better patient reported outcomes (0 vs. 11.4 and 1.0 vs. 0.89; p < 0.01), and higher functional scores (9.0 vs. 7.0, p < 0.05) and cosmetic scores (8.2 vs. 7.0, p > 0.05). Complicated cases presented with more cold intolerance (58 vs. 14%, p < 0.01). Pain scores were similar in both groups, with 16-18% reporting some pain in the past week.
CONCLUSION: Syndactyly reconstruction yields satisfactory subjective long-term outcomes. Complicated cases had poorer function and more cold sensitivity but remained overall favorable.
LEVEL OF EVIDENCE: IV.