Patient satisfaction and outcomes of surgery for de Quervain's tenosynovitis.
A 3-part retrospective study was done to review the long-term results of surgery for de Quervain's tenosynovitis. Forty-three involved wrists in 43 consecutive patients who had surgery from 1991 to 1996 were followed by chart review, phone interview, and outpatient examination. At an average length of follow-up of 3 years there were 2 patients with recurrence of de Quervain's tenosynovitis (5%), 1 with radial sensory nerve injury (2%), and 1 with severe scar tenderness (2%). Complication was found to be significantly associated with patient dissatisfaction after surgery. A long duration of symptoms before surgery (> or = 10 months) was significantly associated with patient satisfaction. The cure rate of surgery, defined as the percentage of patients without postoperative complication, was 91%, with 88% of patients indicating full satisfaction. These findings suggest that (1) patient dissatisfaction is significantly associated with long-term complication after surgery, (2) surgery is more likely to be satisfactory for patients with a long duration of symptoms, and (3) surgical intervention is effective as definitive therapy for de Quervain's tenosynovitis.
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K T
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Section of Plastic Surgery, Yale University School of Medicine, New Haven, CT 06520-8041, USA.
Eidelman
D
D
Thomson
J G
JG
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013717:Tenosynovitis / Q000601:surgery*; D016896:Treatment Outcome