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Joint Diseases and
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Original Article · Open access

Factors affecting functional outcomes after surgery to repair extensive volar forearm lacerations with nerve injuries identified via quantitative and qualitative methods

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Kenan Güvenç

Department of Orthopedics and Traumatology, Division of Hand Surgery, Eskişehir City Hospital, Eskişehir, Türkiye

ORCID: 0000-0002-3899-5782

Erdem Ateş

Department of Orthopedics and Traumatology, Mut State Hospital, Mersin, Türkiye

ORCID: 0000-0003-0297-5891

Zeynel Mert Asfuroğlu

Department of Orthopedics and Traumatology, Division of Hand Surgery, Mersin University Faculty of Medicine, Mersin, Türkiye

ORCID: 0000-0001-8796-4133

Abstract

Objectives: We aimed to investigate factors affecting the functional outcomes of patients with extensive volar forearm lacerations combined with nerve injuries who underwent surgery.

Patients and methods: Between January 2012 and December 2018, a total of 71 patients (58 males, 13 females; mean age: 41±12.1 years; range, 20 to 66 years) with extensive volar forearm lacerations treated in our center were retrospectively analyzed. Demographic data and injury details of the patients were recorded. The functional results were quantitatively evaluated using the Rosén-Lundborg protocol (RLP) and qualitatively evaluated using the Quick Disability of Arm, Shoulder, and Hand (QuickDASH) scale.

Results: The mean follow-up time 69.8±36.7 (range, 18 to 148) months. The mean final RLP and QuickDASH scores were 2.17±0.4 and 8.03±10.55, respectively. There were no major complications such as infection, necrosis, re-rupture of a structure, or amputation. Patients with combined median and ulnar nerve injuries had poorer RLP scores than the others. Patients with combined median and ulnar nerve injuries, combined radial and ulnar arterial injuries, and who were of low education status, had lower QuickDASH scores than the others.

Conclusion: The main factors affecting long-term functional outcomes are a combined artery or nerve injury and a low education status. Favorable results can be achieved with the cooperation of experienced surgeons and hand rehabilitation specialists for patients with severe hand injuries.

Declarations

Ethics Committee Approval

The study protocol was approved by the Mersin University Faculty of Medicine Ethics Committee (date: 08.11.2019, no: 1221548). The study was conducted in accordance with the principles of the Declaration of Helsinki.

Author Contributions

Idea/Concept, data collection, analysis, literature review: K.G.; Data collection, analysis, literatüre review: E.A.; Design, control/supervision, writing the article: Z.M.A.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.

Patient Consent for Publication

A written informed consent was obtained from each patient.

Data Sharing Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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