Research


Stichting Dexmani

Proefschrift Dr Feitz

Recente papers:

Background: A small proportion of patients treated for a hand or wrist condition are also involved in a personal injury claim that may or may not be related to the reason for seeking treatment. There are already indications that patients involved in a personal injury claim have more severe symptoms preoperatively and worse surgical outcomes.

Biomechanical Outcomes of Surgically Repaired TFCC Palmer Type 1B Tears: A Systematic Review of Cadaver Studies

  • Jul 2022

Background Palmer type 1B triangular fibrocartilage complex (TFCC) tears are a common cause of distal radioulnar joint (DRUJ) instability. Unfortunately, the best surgical technique for TFCC reinsertion is still unknown, and up to a quarter of patients report instability after repair. The purpose of this systematic review of cadaver studies was to…

Prevalence and Risk Factors for Postoperative Complications Following Open A1 Pulley Release for a Trigger Finger or Thumb

  • Jun 2022

Purpose Although A1 pulley release is an effective treatment to reduce pain and improve hand function, complications may occur. More insight into risk factors for complications is essential to improve patient counseling and potentially target modifiable risk factors. This study aimed to identify factors associated with complications following A1 pu…

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Collaborative hand surgery clinical research without sharing individual patient data; proof of principle study

Article

Full-text available

  • Mar 2022

High-quality research in hand surgery is increasingly important. A vital component is national and international multicenter collaborative research because of better generalizability and larger sample sizes. However, sharing patient data between centers can be hampered by regulations and privacy issues or reluctance to share patient data. Therefore…

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Flowchart of the study. Abbreviations: USO = Ulnar Shortening...

Pie chart on the increase in explained variance (R²) of preoperative...

Pie chart on the increase in explained variance (R²) of 1-year...

The impact of psychosocial variables on initial presentation and surgical outcome for ulnar-sided wrist pathology: a cohort study with 1-year follow-up

Article

Full-text available

  • Feb 2022

Aims Ulnar-sided wrist pain has historically been equated to lower-back pain of wrist surgery. Little is known about the relationship between psychosocial profile and the manifestation of ulnar-sided wrist pathology and their treatment outcomes. This study aimed to determine the impact of pain catastrophising, psychological distress, illness percep…

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Outcome of Simple Decompression of Primary Cubital Tunnel Syndrome Based on Patient-Reported Outcome Measurements

Article

  • Jan 2022

Purpose To evaluate the patient-reported outcome measures of patients with primary cubital tunnel syndrome and to assess whether they are affected by preoperative symptom severity. Methods Patients who underwent simple decompression for primary cubital tunnel syndrome were selected from a prospectively maintained database. Outcome measurements con…

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What Are the Minimally Important Changes of Four Commonly Used Patient-Reported Outcome Measures for 36 Hand and Wrist Condition-Treatment Combinations?

Article

  • Dec 2021

Background: Patient-reported outcome measures (PROMs) are frequently used to assess treatment outcomes for hand and wrist conditions. To adequately interpret these outcomes, it is important to determine whether a statistically significant change is also clinically relevant. For this purpose, the minimally important change (MIC) was developed, repr…

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PROMise of Open Triangular Fibrocartilage Surgery

Thesis

Full-text available

  • Nov 2021

General aims and outline of this thesis In order to give better advise to our patients we should be better informed of outcomes of surgical treatment for TFCC injury. The overall aim of this thesis is to report various aspects of outcome measurements after open repair of the TFCC. In Part I, we report on the cohort in general. In the addendum, we r…

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Fig. 2

Long-term patient-reported outcomes for open surgery of the triangular fibrocartilage complex

Article

Full-text available

  • Nov 2021

Aims Studies on long-term patient-reported outcomes after open surgery for triangular fibrocartilage complex (TFCC) are scarce. Surgeons and patients would benefit from self-reported outcome data on pain, function, complications, and satisfaction after this surgery to enhance shared decision-making. The aim of this study is to determine the long-te…

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Predicting Complete Finger Extension In Dupuytren’s Disease

Article

Full-text available

  • Nov 2021

Multiple studies have reported the effectiveness of treatment on contracture reduction in Dupuytren’s disease. However, very few studies have attempted to quantify to which extent patient- and disease characteristics influence the chance of achieving a straight finger after surgery. Therefore, the aim of this study is to explore to which extent pre…

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The Influence of Illness Perception and Mental Health on Return to Work After Carpal Tunnel Release Surgery

Article

  • Sep 2021

Purpose Although multiple factors influencing return to work after a carpal tunnel release (CTR) have been identified, little is known about the influence of psychological patient factors on return to work. Therefore, this study aimed to identify the psychological factors that play a role in the return to work after a CTR surgery. Methods Patients…

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FIGURE 1: Flowchart of the study. TFCC, triangular fibrocartilage complex.

FIGURE 2: Kaplan-Meier curve for RTW after USO, in weeks, with 95%...

FIGURE 3: Results from the multivariable Cox regression analysis for...

Characteristics of the Study Population at Baseline (n [ 111)

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Return to Usual Work Following an Ulnar Shortening Osteotomy: A Sample of 111 Patients

Article

Full-text available

  • Sep 2021

Purpose The primary aim of this study was to analyze the median time until patients performed their usual work following an ulnar shortening osteotomy (USO). The secondary aim was to identify factors influencing the median time until return to their usual work. Methods We used a retrospective cohort of patients with ongoing data collection from ou…

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Return to Work and Associated Costs after Treatment for Dupuytren’s Disease

Article

  • Jul 2021

Background: Return to work is potentially an important factor in assessing the success of treatment. However, little is known about the return to work after treatment for Dupuytren’s contracture. Therefore, the primary aim of this study was to assess return to work after limited fasciectomy and percutaneous needle fasciotomy. Methods: Patients w…

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Figure 1. Flow diagram of included patients.

Patient Characteristics

Prognostic Factors in Open Triangular Fibrocartilage Complex (TFCC) Repair

Article

Full-text available

  • Jun 2021

Purpose Patients with triangular fibrocartilage complex (TFCC) injury report ulnar-sided wrist pain and impaired function. Open TFCC repair aims to improve the condition of these patients. Patients have shown reduction in pain and improvement in function at 12 months after surgery; however, results are highly variable. The purpose of this study was…

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Fig. 1 Results of triangular fibrocartilage complex (TFCC) surgery of...

Fig. 2 Plot of individual patients on PRWE results after open TFCC...

Fig. 3 Prediction model carpal tunnel release (CTR). Patients and...

Fig. 4 Results of patient 261654 routinely plotted against the overall...

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Closing the loop: a 10-year experience with routine outcome measurements to improve treatment in hand surgery

Article

Full-text available

  • Jun 2021

Routine outcome measurements as a critical prerequisite of value-based healthcare have received considerable attention recently. There has been less attention for the last step in value-based healthcare where measurement of outcomes also leads to improvement in the quality of care. This is probably not without reason, since the last part of the lea…

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Patient-reported outcomes and function after reinsertion of the triangular fibrocartilage complex by open surgery

Article

  • Apr 2021

Aims Patients with a triangular fibrocartilage complex (TFCC) injury report ulnar-sided wrist pain and impaired function. The surgical procedure of TFCC reinsertion aims to improve function in patients with this injury in whom conservative treatment has failed. The purpose of this study was to investigate the outcomes of open TFCC reinsertion. Met…

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Fig. 1. The triangular fibrocartilage complex ( C Dino Pulera).

Fig. 2. Flowchart: 584 patients underwent open TFCC repair, of whom 486...

Fig. 4. Kaplan-Meier plot for return to work after reinsertion of the...

Return-to-work questionnaire. Patients were asked if they returned to...

COX model for return to work for >50% of the original contract hours,...

Factors associated with return to work after open reinsertion of the triangular fibrocartilage

Article

Full-text available

  • Apr 2021

The aim of this study was to assess return to work (RTW) after open Triangular Fibrocartilage Complex (TFCC) reinsertion. RTW after open surgery for TFCC injury was assessed by questionnaires at 6 weeks, 3 months, 6 months, and 12 months post-operatively. Median RTW time was assessed on inverted Kaplan-Meier curves and hazard ratios were calculated…

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Figure 1. Kaplan-Meier plot of the overall return to work after surgery...

Figure 2. Kaplan-Meier plot of the return to work after surgery for...

Baseline characteristics and hand function scores of the study...

Factors affecting return to work after surgical treatment of trapeziometacarpal joint osteoarthritis

Article

Full-text available

  • Dec 2020

This study aimed to identify factors contributing to the timing of return to work after surgical treatment of trapeziometacarpal joint osteoarthritis and to calculate the costs of lost productivity. We included 627 patients with paid employment who underwent trapeziectomy and ligament reconstruction with tendon interposition. Time to return to work…

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Are Patient Expectations and Illness Perception Associated with Patient-reported Outcomes from Surgical Decompression in de Quervain’s Tenosynovitis?

Article

  • Nov 2020

Abstract Background Psychological factors such as depression, pain catastrophizing, kinesiophobia, pain anxiety, and more negative illness perceptions are associated with worse pain and function in patients at the start of treatment for de Quervain’s tenosynovitis. Longitudinal studies have found symptoms of depression and pain catastrophizing a…

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Routine Health Outcome Measurement: Development, Design, and Implementation of the Hand and Wrist Cohort

Article

  • Apr 2020

Routine measurement of outcome of clinical care is increasingly considered important, but implementation in practice is challenging. This paper describes how 1) we created and implemented a routine outcome measurement cohort of patients with hand and wrist conditions, and 2) these data are used to improve the quality of care and facilitate scientif…

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Illness Perceptions of Patients With First Carpometacarpal Osteoarthritis, Carpal Tunnel Syndrome, Dupuytren Contracture, or Trigger Finger

Article

  • Dec 2019

Purpose: Previous studies indicate that patients with a more negative perception of their illness tend to respond less favorably to treatment, but little is known about whether illness perceptions differ based on the type of hand or wrist conditions. Therefore, we compared illness perceptions between patients scheduled to undergo surgery for 4 ill…

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Three-ligament tenodesis for chronic scapholunate injuries: short-term outcomes in 203 patients

Article

  • Nov 2019

In this cohort study, we report on short-term outcomes of 203 patients (203 wrists) who underwent scapholunate ligament reconstruction using a three-ligament tenodesis technique between December 2013 and December 2017. Patients completed the Patient Rated Wrist Evaluation questionnaire and a visual analogue scale for pain online before surgery and…

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Which Psychological Variables Are Associated With Pain and Function Before Surgery for de Quervain’s Tenosynovitis? A Cross-sectional Study

Article

  • Oct 2019

Background: Depression, anxiety, and pain catastrophizing have been associated with worse pain and function in studies of patients with de Quervain’s tenosynovitis. Illness perceptions are the patient’s thoughts and feelings about their illness. More negative perceptions of the illness such as the illness having a long duration or serious conseque…

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Outcome of Recurrent Surgery in Dupuytren’s Disease; Comparison with Initial Treatment

Article

  • Aug 2019

Background: There are multiple studies about the effectiveness of primary treatment in Dupuytren’s disease. However, such studies concerning treatment effectiveness of recurrent disease are scarce. Therefore, the primary aim of this study is to compare treatment effectiveness of initial and repeated surgery in patients with Dupuytren’s disease. M…

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Figure 1. Flowchart showing the selection of patients and the reasons...

Positive experience with treatment is associated with better surgical outcome in trapeziometacarpal osteoarthritis

Article

Full-text available

  • Jun 2019

The aim of this study was to investigate the association between patients’ experiences with trapeziometacarpal arthroplasty and treatment outcomes in terms of patient-reported outcome measures, grip and pinch strength. We included 233 patients who received a Weilby procedure for trapeziometacarpal osteoarthritis. Before surgery and 12 months after…

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PTJ-2018-0015. supplementary table.pdf

Data

  • May 2019

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Supplementary Figure 2.jpg

Data

  • May 2019

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Supplementary Figure 1.jpg

Data

  • May 2019

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Supplementary Figure 2.jpg

Data

  • May 2019

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