gms | German Medical Science

59. Kongress der Deutschen Gesellschaft für Handchirurgie

Deutsche Gesellschaft für Handchirurgie

11. - 13.10.2018, Mannheim

Patient-rated long-term results after complete denervation of the wrist

Meeting Abstract

  • corresponding author presenting/speaker Cedric Bösch - BG Klinik Tübingen, Hand und Plastische Chirurgie, Tübingen, Germany
  • Thomas Fuchsberger - BG Klinik Tübingen, Hand und Plastische Chirurgie, Tübingen, Germany
  • Phillipp Gonser - BG Klinik Tübingen, Hand und Plastische Chirurgie, Tübingen, Germany
  • Till Fischborn - BG Klinik Tübingen, Hand und Plastische Chirurgie, Tübingen, Germany
  • Hans-Eberhard Schaller - BG Klinik Tübingen, Hand und Plastische Chirurgie, Tübingen, Germany
  • Adrien Daigeler - BG Klinik Tübingen, Hand und Plastische Chirurgie, Tübingen, Germany

Deutsche Gesellschaft für Handchirurgie. 59. Kongress der Deutschen Gesellschaft für Handchirurgie. Mannheim, 11.-13.10.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. Doc18dgh068

doi: 10.3205/18dgh068, urn:nbn:de:0183-18dgh0685

Veröffentlicht: 10. Oktober 2018

© 2018 Bösch et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objectives: The aim of this study was to examine the long-term results after the denervation of the wrist.

Method: The long-term results were assessed by a questionnaire assessing pain on a visual analog scale and patient satisfaction and by the DASH questionnaire.

Results: Between 1977 and 2001, we treated 375 patients in our clinic. The mean age was 43.5 years; 81% were male and 19% female. After a mean follow-up of 12.23 years, we found an overall pain reduction of 52.1%. In 67.7% of the patients, we found a relief of pain: of these, 44% are free of pain until today and 56% were temporarily asymptomatic. Patients with a painful osteoarthritic condition without dynamic instability and good range of motion are ideal candidates to benefit from the denervation.

Conclusion: The complete denervation of the wrist is an effective treatment option in patients with painful wrist conditions to reduce pain and improve the overall function.