| TAZ-TFG-2024-733 |
RESECCIÓN ARTROSCÓPICA DE POLO DISTAL DE TRAPECIO Y ESTABILIZACIÓN TRAPECIOMETACARPIANA PERCUTÁNEA, UN NUEVO ABORDAJE QUIRÚRGICO
Faus Climent, Arnau
Cardona Malfey, Rafael (dir.)
Universidad de Zaragoza,
MED,
2024
Cirugía department, Traumatología y Ortopedia area
Graduado en Medicina
Tipo de Trabajo Académico: Trabajo Fin de Grado
Notas: ABSTRACT Introduction and objectives: Trapeziometacarpal osteoarthritis is one of the pathologies that causes major disability and pain in the upper limb, as the hand is our primary tool for interacting with the world. This condition is more common in postmenopausal women. Many aggressive techniques are described for its treatment, which hinder postoperative recovery. The central objective of the study is to establish the effectiveness of a less invasive technique that allows for early recovery, such as arthroscopic resection of the distal pole of the trapezium and percutaneous trapeziometacarpal stabilization. Material and methods: This is an observational, retrospective, non-interventional study with an analytical nature. The sample includes patients who were in stage III of Eaton, operated on at the Miguel Servet Hospital in Zaragoza between March 25, 2021, and February 5, 2024. The following data were collected, such as pain (EVA Scale) and hand functionality (Quick Dash), before and after the intervention using a questionnaire created on the Google Forms platform. These data were subsequently analyzed using the SPSS program, with statistical significance considered at a p-value < 0.05. Results: Of the total sample, 85.5% were postmenopausal women. The differences obtained after the intervention regarding the scores on the EVA and Quick Dash scales were statistically significant, confirming an improvement in both pain and functionality. However, it was not possible to determine from which point in the postoperative period the functional improvement became significant. Nor were any significant differences found related to the age or sex of the patients. Conclusions: It is claimed that the intervention is effective. The majority of patients are postmenopausal women. A significant correlation has been demonstrated between the improvement in pain and the Quick Dash before and after the intervention. Studies with a larger sample size are needed to support and generalize our findings.
Notas: ABSTRACT Introduction and objectives: Trapeziometacarpal osteoarthritis is one of the pathologies that causes major disability and pain in the upper limb, as the hand is our primary tool for interacting with the world. This condition is more common in postmenopausal women. Many aggressive techniques are described for its treatment, which hinder postoperative recovery. The central objective of the study is to establish the effectiveness of a less invasive technique that allows for early recovery, such as arthroscopic resection of the distal pole of the trapezium and percutaneous trapeziometacarpal stabilization. Material and methods: This is an observational, retrospective, non-interventional study with an analytical nature. The sample includes patients who were in stage III of Eaton, operated on at the Miguel Servet Hospital in Zaragoza between March 25, 2021, and February 5, 2024. The following data were collected, such as pain (EVA Scale) and hand functionality (Quick Dash), before and after the intervention using a questionnaire created on the Google Forms platform. These data were subsequently analyzed using the SPSS program, with statistical significance considered at a p-value < 0.05. Results: Of the total sample, 85.5% were postmenopausal women. The differences obtained after the intervention regarding the scores on the EVA and Quick Dash scales were statistically significant, confirming an improvement in both pain and functionality. However, it was not possible to determine from which point in the postoperative period the functional improvement became significant. Nor were any significant differences found related to the age or sex of the patients. Conclusions: It is claimed that the intervention is effective. The majority of patients are postmenopausal women. A significant correlation has been demonstrated between the improvement in pain and the Quick Dash before and after the intervention. Studies with a larger sample size are needed to support and generalize our findings.
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trabajos-academicos-universidad-zaragoza > centro > facultad-de-medicina
trabajos-academicos-universidad-zaragoza > trabajos-fin-grado