Prognostic Factors in Open Triangular Fibrocartilage Complex (TFCC) Repair

Reinier Feitz; Daniel Stip; Mark van der Oest; Sebastiaan Souer; Steven Hovius; Ruud Selles; the Hand-Wrist Study Group

doi:10.1016/j.jhsg.2021.05.005

Prognostic Factors in Open Triangular Fibrocartilage Complex (TFCC) Repair

Reinier Feitz^*, Daniel Stip, Mark van der Oest, Sebastiaan Souer, Steven Hovius, Ruud Selles, the Hand-Wrist Study Group

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

2 Citations (Scopus)

Abstract

Purpose: Patients with triangular fibrocartilage complex (TFCC) injury report ulnar-sided wrist pain and impaired function. Open TFCC repair aims to improve the condition of these patients. Patients have shown reduction in pain and improvement in function at 12 months after surgery; however, results are highly variable. The purpose of this study was to relate patient (eg, age and sex), disease (eg, trauma history and arthroscopic findings), and surgery factors (type of bone anchor) associated with pain and functional outcomes at 12 months after surgery. Methods: This study included patients who underwent an open TFCC repair between December 2011 and December 2018 in various Xpert Clinics in the Netherlands. All patients were asked to complete Patient-Rated Wrist Evaluation (PRWE) questionnaires at baseline as well as at 12 months after surgery. Patient, disease, and surgery factors were extracted from digital patient records. All factors were analyzed by performing a multivariable hierarchical linear regression. Results: We included 274 patients who had received open TFCC repair and completed PRWE questionnaires. Every extra month of symptoms before surgery was correlated with an increase of 0.14 points on the PRWE total score at 12 months after surgery. In addition, an increase of 0.28 points in the PRWE total score at 12 months was seen per extra point of PRWE total score at baseline. Conclusions: Increased preoperative pain, less preoperative function, and a longer duration of complaints are factors that were associated with more pain and less function at 12 months after open surgery for TFCC. This study arms surgeons with data to predict outcomes for patients undergoing open TFCC repair. Type of study/level of evidence: Prognostic II.

Original language	English
Pages (from-to)	176-181
Number of pages	6
Journal	Journal of Hand Surgery Global Online
Volume	3
Issue number	4
DOIs	https://doi.org/10.1016/j.jhsg.2021.05.005
Publication status	Published - Jul 2021

Bibliographical note

Funding Information:
We would like to thank all patients have filled out questionnaires as part of their clinical care and that agreed that their data could be anonymously used for the present study. In addition, we would like to acknowledge the members of the Hand-Wrist Study Group and caregivers and personnel of Xpert Clinics, Xpert Hand Therapy, and Equipe Zorgbedrijven for assisting in the routine outcome measurements that are the basis for this manuscript. Each of the Hand-Wrist Study Group collaborators contributed by either treating patients from the cohort or engaging in defining, enabling, or managing the data collection and analysis.

Publisher Copyright:
© 2021 The Authors

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10.1016/j.jhsg.2021.05.005

Cite this

@article{d38394d033124324ba7d2ccbddc05da7,

title = "Prognostic Factors in Open Triangular Fibrocartilage Complex (TFCC) Repair",

abstract = "Purpose: Patients with triangular fibrocartilage complex (TFCC) injury report ulnar-sided wrist pain and impaired function. Open TFCC repair aims to improve the condition of these patients. Patients have shown reduction in pain and improvement in function at 12 months after surgery; however, results are highly variable. The purpose of this study was to relate patient (eg, age and sex), disease (eg, trauma history and arthroscopic findings), and surgery factors (type of bone anchor) associated with pain and functional outcomes at 12 months after surgery. Methods: This study included patients who underwent an open TFCC repair between December 2011 and December 2018 in various Xpert Clinics in the Netherlands. All patients were asked to complete Patient-Rated Wrist Evaluation (PRWE) questionnaires at baseline as well as at 12 months after surgery. Patient, disease, and surgery factors were extracted from digital patient records. All factors were analyzed by performing a multivariable hierarchical linear regression. Results: We included 274 patients who had received open TFCC repair and completed PRWE questionnaires. Every extra month of symptoms before surgery was correlated with an increase of 0.14 points on the PRWE total score at 12 months after surgery. In addition, an increase of 0.28 points in the PRWE total score at 12 months was seen per extra point of PRWE total score at baseline. Conclusions: Increased preoperative pain, less preoperative function, and a longer duration of complaints are factors that were associated with more pain and less function at 12 months after open surgery for TFCC. This study arms surgeons with data to predict outcomes for patients undergoing open TFCC repair. Type of study/level of evidence: Prognostic II.",

author = "Reinier Feitz and Daniel Stip and {van der Oest}, Mark and Sebastiaan Souer and Steven Hovius and Ruud Selles and {the Hand-Wrist Study Group} and Blomme, {R. A.M.} and Sluijter, {B. J.R.} and {van der Avoort}, {D. J.J.C.} and A. Kroeze and J. Debeij and Walbeehm, {E. T.} and {van Couwelaar}, {G. M.} and Vermeulen, {Guus M.} and {de Schipper}, {J. P.} and Temming, {J. F.M.} and {van Uchelen}, {J. H.} and {de Haas}, {K. P.} and K. Harmsen and Z{\"o}phel, {O. T.} and Moojen, {T. M.} and X. Smit and {van Huis}, R. and Pennehouat, {P. Y.} and K. Schoneveld and {van Kooij}, {Y. E.} and Wouters, {R. M.} and Veltkamp, {J. J.} and A. Fink and {de Ridder}, {W. A.} and R. Poelstra and Slijper, {H. P.} and Ruud Selles and J. Tsehaie and Schrier, {V. J.M.M.} and L. Hoogendam and Jak Dekker and M. Jansen-Landheer and Stege, {M. ter}",

note = "Funding Information: We would like to thank all patients have filled out questionnaires as part of their clinical care and that agreed that their data could be anonymously used for the present study. In addition, we would like to acknowledge the members of the Hand-Wrist Study Group and caregivers and personnel of Xpert Clinics, Xpert Hand Therapy, and Equipe Zorgbedrijven for assisting in the routine outcome measurements that are the basis for this manuscript. Each of the Hand-Wrist Study Group collaborators contributed by either treating patients from the cohort or engaging in defining, enabling, or managing the data collection and analysis. Publisher Copyright: {\textcopyright} 2021 The Authors",

year = "2021",

month = jul,

doi = "10.1016/j.jhsg.2021.05.005",

language = "English",

volume = "3",

pages = "176--181",

journal = "Journal of Hand Surgery Global Online",

issn = "2589-5141",

publisher = "Elsevier Inc.",

number = "4",

}

TY - JOUR

T1 - Prognostic Factors in Open Triangular Fibrocartilage Complex (TFCC) Repair

AU - Feitz, Reinier

AU - Stip, Daniel

AU - van der Oest, Mark

AU - Souer, Sebastiaan

AU - Hovius, Steven

AU - Selles, Ruud

AU - the Hand-Wrist Study Group

AU - Blomme, R. A.M.

AU - Sluijter, B. J.R.

AU - van der Avoort, D. J.J.C.

AU - Kroeze, A.

AU - Debeij, J.

AU - Walbeehm, E. T.

AU - van Couwelaar, G. M.

AU - Vermeulen, Guus M.

AU - de Schipper, J. P.

AU - Temming, J. F.M.

AU - van Uchelen, J. H.

AU - de Haas, K. P.

AU - Harmsen, K.

AU - Zöphel, O. T.

AU - Moojen, T. M.

AU - Smit, X.

AU - van Huis, R.

AU - Pennehouat, P. Y.

AU - Schoneveld, K.

AU - van Kooij, Y. E.

AU - Wouters, R. M.

AU - Veltkamp, J. J.

AU - Fink, A.

AU - de Ridder, W. A.

AU - Poelstra, R.

AU - Slijper, H. P.

AU - Selles, Ruud

AU - Tsehaie, J.

AU - Schrier, V. J.M.M.

AU - Hoogendam, L.

AU - Dekker, Jak

AU - Jansen-Landheer, M.

AU - Stege, M. ter

N1 - Funding Information: We would like to thank all patients have filled out questionnaires as part of their clinical care and that agreed that their data could be anonymously used for the present study. In addition, we would like to acknowledge the members of the Hand-Wrist Study Group and caregivers and personnel of Xpert Clinics, Xpert Hand Therapy, and Equipe Zorgbedrijven for assisting in the routine outcome measurements that are the basis for this manuscript. Each of the Hand-Wrist Study Group collaborators contributed by either treating patients from the cohort or engaging in defining, enabling, or managing the data collection and analysis. Publisher Copyright: © 2021 The Authors

PY - 2021/7

Y1 - 2021/7

N2 - Purpose: Patients with triangular fibrocartilage complex (TFCC) injury report ulnar-sided wrist pain and impaired function. Open TFCC repair aims to improve the condition of these patients. Patients have shown reduction in pain and improvement in function at 12 months after surgery; however, results are highly variable. The purpose of this study was to relate patient (eg, age and sex), disease (eg, trauma history and arthroscopic findings), and surgery factors (type of bone anchor) associated with pain and functional outcomes at 12 months after surgery. Methods: This study included patients who underwent an open TFCC repair between December 2011 and December 2018 in various Xpert Clinics in the Netherlands. All patients were asked to complete Patient-Rated Wrist Evaluation (PRWE) questionnaires at baseline as well as at 12 months after surgery. Patient, disease, and surgery factors were extracted from digital patient records. All factors were analyzed by performing a multivariable hierarchical linear regression. Results: We included 274 patients who had received open TFCC repair and completed PRWE questionnaires. Every extra month of symptoms before surgery was correlated with an increase of 0.14 points on the PRWE total score at 12 months after surgery. In addition, an increase of 0.28 points in the PRWE total score at 12 months was seen per extra point of PRWE total score at baseline. Conclusions: Increased preoperative pain, less preoperative function, and a longer duration of complaints are factors that were associated with more pain and less function at 12 months after open surgery for TFCC. This study arms surgeons with data to predict outcomes for patients undergoing open TFCC repair. Type of study/level of evidence: Prognostic II.

AB - Purpose: Patients with triangular fibrocartilage complex (TFCC) injury report ulnar-sided wrist pain and impaired function. Open TFCC repair aims to improve the condition of these patients. Patients have shown reduction in pain and improvement in function at 12 months after surgery; however, results are highly variable. The purpose of this study was to relate patient (eg, age and sex), disease (eg, trauma history and arthroscopic findings), and surgery factors (type of bone anchor) associated with pain and functional outcomes at 12 months after surgery. Methods: This study included patients who underwent an open TFCC repair between December 2011 and December 2018 in various Xpert Clinics in the Netherlands. All patients were asked to complete Patient-Rated Wrist Evaluation (PRWE) questionnaires at baseline as well as at 12 months after surgery. Patient, disease, and surgery factors were extracted from digital patient records. All factors were analyzed by performing a multivariable hierarchical linear regression. Results: We included 274 patients who had received open TFCC repair and completed PRWE questionnaires. Every extra month of symptoms before surgery was correlated with an increase of 0.14 points on the PRWE total score at 12 months after surgery. In addition, an increase of 0.28 points in the PRWE total score at 12 months was seen per extra point of PRWE total score at baseline. Conclusions: Increased preoperative pain, less preoperative function, and a longer duration of complaints are factors that were associated with more pain and less function at 12 months after open surgery for TFCC. This study arms surgeons with data to predict outcomes for patients undergoing open TFCC repair. Type of study/level of evidence: Prognostic II.

UR - http://www.scopus.com/inward/record.url?scp=85109511524&partnerID=8YFLogxK

U2 - 10.1016/j.jhsg.2021.05.005

DO - 10.1016/j.jhsg.2021.05.005

M3 - Article

C2 - 35415558

AN - SCOPUS:85109511524

SN - 2589-5141

VL - 3

SP - 176

EP - 181

JO - Journal of Hand Surgery Global Online

JF - Journal of Hand Surgery Global Online

IS - 4

ER -

Prognostic Factors in Open Triangular Fibrocartilage Complex (TFCC) Repair

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