Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Parvizi, D; Koch, H; Friedl, H; Spendel, S; Hubmer, M; Parvizi, I; Prandl, E; Rappl, T; Haas, F.
Analysis of functional outcome after posttraumatic thumb reconstruction in comparison to nonreconstructed amputated thumbs at the proximal phalanx of the thumb ray: a mid-term follow-up with special attention to the Manchester-modified M2 DASH questionnaire and effect size of Cohen's d.
J Trauma Acute Care Surg. 2012; 72(2):E33-E40
Doi: 10.1097/TA.0b013e318232974d
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Parvizi Daryousch
- Co-Autor*innen der Med Uni Graz
- Haas Franz
- Hubmer Martin
- Koch Horst
- Prandl-Mira Eva-Christina
- Rappl Thomas
- Spendel Stephan
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- Pollicization, toe to thumb transfer, and osteoplastic thumb reconstruction, along with free tissue transfer, are the most reported reconstructive procedures after traumatic amputation at the proximal and middle third of the thumb. We will present our clinical studies on functional outcomes with special attention to the M2 DASH questionnaire and effect size of Cohen's d. Eleven patients (2 women and 9 men) with posttraumatic thumb reconstruction (three pollicizations of the index or index stump, four free lateral arm osteocutaneous neurosensory flaps, and four microvascular second toe to thumb transfers), performed during the period 2000 to 2007, were reexamined after 4.2 (SD ±2.1) years (range, 2-7 years postinjury). To ensure homogeneity among the patients' data, we selected only patients with isolated thumb amputations at the level of the proximal phalanx. The total M2-DASH score after thumb reconstruction was 18.55 (SD ±16.79). The M2-DASH score of patients with nonreconstructed thumbs was 32.77 (SD ±18.87). Pairwise comparisons between reconstructed and amputated thumbs showed statistically significant differences (Wilcoxon rank-sum test, p value = 0.03) and a highly effective improvement of hand function (Cohen's d = 1.10) after thumb reconstruction relative to amputated thumbs. Before selecting a candidate for thumb reconstruction, it is critical to decide on an individualized treatment plan. Factors such as the patient's occupation and the importance of the aesthetic appearance of the thumb must be carefully considered. The surgeon must investigate the patient's current use pattern and functional requirements before considering a reconstructive treatment.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Amputation Stumps - surgery
- Amputation, Traumatic - surgery
- Disability Evaluation -
- Female -
- Humans -
- Male -
- Microsurgery - methods
- Middle Aged -
- Patient Selection -
- Range of Motion, Articular - physiology
- Reconstructive Surgical Procedures - methods
- Recovery of Function -
- Statistics, Nonparametric -
- Surgical Flaps -
- Surveys and Questionnaires -
- Thumb - injuries Thumb - surgery
- Toes - transplantation
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Thumb
- thumb reconstruction
- DASH-score
- M2-DASH-score