Functional recovery and patient-reported outcomes after total wrist arthrodesis: A decade-long follow-up - 24/02/26
Abstract |
Introduction |
Total wrist arthrodesis (TWA) is a definitive treatment for advanced wrist pathology. This study aimed to evaluate patient-reported outcomes (PROMs), persistent complaints, and quality of life after TWA at a minimal one year of follow-up.
Methods |
A multicenter retrospective cohort of 28 patients who underwent dorsal plate TWA between 2009 and 2022 was analyzed. The primary outcome was the Overall Subjective Self-Assessment (OSSA) including a specific analysis of patients’ complaints. Secondary outcomes included QuickDASH, PRWE, VAS, SF-36, grip strength, and satisfaction.
Results |
Mean follow-up was 116 months. OSSA averaged 5/10, with reduced mobility as the main complaint. Patients reported low pain levels (mean VAS 2). Grip strength was 55% of the contralateral side. Despite functional limitations (mean QuickDASH and PRWE: 42), satisfaction was high (mean 8/10). The SF-36 physical score was lower than the general population, but mental health was preserved, regardless of the etiology for TWA.
Conclusion |
While OSSA revealed moderate score due to immobility, overall acceptance and adaptation post-TWA were high. Preoperative counseling is essential to align expectations with outcomes.
Level of evidence |
IV.
Le texte complet de cet article est disponible en PDF.Keywords : Total wrist arthrodesis, PROMs, Functional assessment, Quality of life
Plan
Vol 45 - N° 1
Article 102536- février 2026 Retour au numéro
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