Long-term Functional Outcomes Follow-up after 188 Rib Resections in Patients with TOS.

Détails

ID Serval
serval:BIB_34000D896DC4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Long-term Functional Outcomes Follow-up after 188 Rib Resections in Patients with TOS.
Périodique
Annals of vascular surgery
Auteur(s)
Dua A., Deslarzes-Dubuis C., Rothenberg K.A., Gologorsky R., Lee J.T.
ISSN
1615-5947 (Electronic)
ISSN-L
0890-5096
Statut éditorial
Publié
Date de publication
10/2020
Peer-reviewed
Oui
Volume
68
Pages
28-33
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Short-term outcomes in patients with all forms of TOS have been widely reported in the literature and have established that rib resection can be beneficial in decompressing the thoracic outlet and relieving pressure on traversing structures. We sought to determine long-term functional outcomes using the Disability of the Arm, Shoulder, and Hand (QuickDASH) survey in patients with TOS who underwent rib resection.
Clinical records for patients who underwent rib resection for TOS at a single institution were retrospectively reviewed. All patients were contacted via telephone and long-term functional outcome was assessed at latest follow-up via the 11-item version of the QuickDASH questionnaire. Demographics, TOS type, preoperative QuickDASH score, and athletic status were recorded. Patients were asked if they returned to baseline activity since their surgery, would have the procedure again, and if they were subjectively better postoperatively.
From 2000 to 2018, 261 patients underwent rib resection surgery. One hundred seventy patients (65.1%) were able to be contacted via telephone for long-term follow-up. A total of 188 surgeries (102 neurogenic thoracic outlet syndrome, 82 venous thoracic outlet syndrome, 4 arterial thoracic outlet syndrome) were performed in these 170 patients. The mean follow-up time for the cohort was 5.3 years (range 1-18). Overall, 167 (88.9%) patients returned to baseline activity postoperatively. Postop QuickDASH decreased to 12 from 44 preoperatively for the cohort.
First rib resection and thoracic outlet decompression for all forms of TOS is a durable surgical treatment which results in excellent long-term functional outcomes as determined by both the QuickDASH score and subjective patient reporting.
Mots-clé
Activities of Daily Living, Adolescent, Adult, Decompression, Surgical/adverse effects, Decompression, Surgical/methods, Disability Evaluation, Female, Humans, Male, Middle Aged, Osteotomy/adverse effects, Patient Satisfaction, Recovery of Function, Retrospective Studies, Return to Sport, Ribs/surgery, Thoracic Outlet Syndrome/diagnostic imaging, Thoracic Outlet Syndrome/physiopathology, Thoracic Outlet Syndrome/surgery, Time Factors, Treatment Outcome, Young Adult
Pubmed
Web of science
Création de la notice
09/12/2020 16:53
Dernière modification de la notice
10/12/2020 7:26
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