BACKGROUND The aim of the study was to evaluate patient reported outcome measures (PROM) before and after trapeziectomy with or without ligament reconstruction and tendon interposition for trapeziometacarpal joint arthritis with special focus on possible differences due to gender, age and surgical method. METHODS Data from the Swedish quality registry for hand surgery (HAKIR) was analyzed preoperatively, 3 months and 1 year postoperatively for 1850 patients (mean age 63 years, 79% women). RESULTS One year postoperatively, mean pain at rest was reduced from 50 to 12 of maximum 100. However, pain on load and weakness had not abated to the same extent (mean 30 and 34 of 100, respectively). The mean improvement in PROM did not differ between age groups or gender. The result was similar after trapeziectomy with ligament reconstruction and tendon interposition (86% of the patients) and simple trapeziectomy but few patients were operated with the latter method. CONCLUSION Pain on load and weakness remains to some extent 1 year after surgery for trapeziometacarpal joint arthritis. The result is similar after trapeziectomy with or without ligament reconstruction and tendon interposition and the same improvement can be expected after surgery regardless of age and gender.

中文翻译：

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基于注册表的患者分析报告了梯形腕掌关节性骨关节炎的手术结果。

背景技术本研究的目的是评估伴有或不伴韧带重建以及肌腱介入治疗梯形足掌关节关节炎的患者在梯形切除术之前和之后的预后结果（PROM），特别关注由于性别，年龄和手术方法而可能产生的差异。方法对1850例患者（平均年龄63岁，女性占79％）的术前，术后3个月和术后1年来自瑞典手外科质量注册中心（HAKIR）的数据进行了分析。结果术后一年，平均静息疼痛从50减少到最大100的12。但是，负荷和无力疼痛并未减轻到相同程度（分别为100的30和34）。年龄组或性别之间，PROM的平均改善没有差异。伴有韧带重建和肌腱插入的梯形切除术（86％的患者）和简单的梯形切除术的结果相似，但采用后一种方法的患者很少。结论梯形趾掌关节关节炎术后1年，疼痛感和无力感仍然存在。进行或不进行韧带重建和肌腱插入的梯形切除术的结果相似，无论年龄和性别，手术后的预期效果均相同。