151. A comprehensive analysis of medium-term outcomes of open first dorsal compartment release for de Quervain’s syndrome
- Author
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Paul H C Stirling, Jane E McEachan, and Fabienne M. Robertson
- Subjects
Dorsum ,medicine.medical_specialty ,Decompression ,030230 surgery ,Medium term ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,Quality of life ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Compartment (pharmacokinetics) ,030222 orthopedics ,De Quervain's syndrome ,business.industry ,Rehabilitation ,Surgery ,De Quervain Disease ,Patient Satisfaction ,Quality of Life ,Radial Nerve ,business ,Cohort study - Abstract
The primary aim of this study is to describe medium-term functional outcomes following first dorsal compartment decompression using a longitudinal incision in patients with de Quervain's syndrome. The secondary aims are to describe the improvement in health-related quality of life and patient satisfaction, and to determine the cost-effectiveness of this procedure. Pre- and postoperative QuickDASH, EQ-5D-5 L, and satisfaction scores were collected prospectively over five years. Paired data were available for 36 patients (90% at mean 32 months follow-up). The median QuickDASH score improved significantly from 50 to 9.1 (p 0.01). Median EQ-5D-5L index scores improved from 0.65 preoperatively to 0.73 (p = 0.03). The satisfaction rate was 97% and there were no cases of superficial radial nerve injury or neuroma. The cost per quality-adjusted life year gained was £356 (€398; $449). First dorsal compartment release using a longitudinal incision results in a significant improvement in function, with high levels of patient satisfaction, and low complication rates. In addition, health economic analysis revealed that this is a cost-effective procedure for the treatment of de Quervain's syndrome. LEVEL OF EVIDENCE: III (cohort study).
- Published
- 2021