table 3.
Outcomes and Adverse Events
| 2006–2014 | 2015–2020 | Overall | P | ||||
|---|---|---|---|---|---|---|---|
| # | % / Avg | # | % / Avg | # | % / Avg | ||
| 1. No. nights in hospital | x̅ = 1 | x̅ = 1 | x̅ = 1 | ||||
| 2. Time out of work (wk) | x̅ = 4 | x̅ = 5 | x̅ = 4 | ||||
| 3. Postoperative adverse events | |||||||
| None | 425 | 83% | 558 | 86% | 983 | 85% | 0.237 |
| Wound separation treated conservatively | 3 | 1% | 2 | 0% | 5 | 0% | 0.469 |
| Infection requiring oral antibiotics only | 7 | 1% | 8 | 1% | 15 | 1% | 0.832 |
| Infection requiring IV antibiotics | 2 | 0% | 3 | 0% | 5 | 0% | 0.858 |
| Injury to tendon | 0 | 0% | 3 | 0% | 3 | 0% | 0.124 |
| Injury to nerve | 0 | 0% | 0 | 0% | 0 | 0% | |
| Injury to artery | 0 | 0% | 0 | 0% | 0 | 0% | |
| Nonunion | 3 | 1% | 7 | 1% | 10 | 1% | 0.372 |
| Malunion | 9 | 2% | 3 | 0% | 12 | 1% | 0.029* |
| Decreased range of motion of MCP joint | 28 | 5% | 35 | 5% | 63 | 5% | 0.937 |
| Complex regional pain syndrome | 2 | 0% | 2 | 0% | 4 | 0% | 0.808 |
| Readmission to the hospital | 3 | 1% | 2 | 0% | 5 | 0% | 0.469 |
| Plate/screw removal† | 10 | 2% | 14 | 2% | 24 | 2% | 0.819 |
| Tenolysis† | 3 | 1% | 5 | 1% | 8 | 1% | 0.712 |
| Capsulotomy† | 3 | 1% | 5 | 1% | 8 | 1% | 0.712 |
| Other | 33 | 6% | 31 | 5% | 64 | 6% | 0.208 |
| 4. Movement outcomes | |||||||
| Almost full range of motion | 316 | 62% | 402 | 62% | 718 | 62% | 0.968 |
| Good range of motion | 83 | 16% | 151 | 23% | 234 | 20% | 0.003* |
| Poor range of motion | 20 | 4% | 16 | 2% | 36 | 3% | 0.155 |
| No movement | 1 | 0% | 0 | 0% | 1 | 0% | 0.259 |
| Tenolysis required | 2 | 0% | 3 | 0% | 5 | 0% | 0.858 |
| Don’t know—patient did not return for follow up | 67 | 13% | 65 | 10% | 132 | 11% | 0.095 |
| Other | 29 | 6% | 31 | 5% | 60 | 5% | 0.484 |
| 5. Patient satisfaction with end results | 0.091 | ||||||
| Satisfied | 418 | 82% | 563 | 87% | 981 | 85% | |
| Dissatisfied | 6 | 1% | 5 | 1% | 11 | 1% | |
| 6. Physician satisfaction with end result | 0.007* | ||||||
| Satisfied | 410 | 80% | 565 | 87% | 975 | 84% | |
| Dissatisfied | 29 | 6% | 20 | 3% | 49 | 4% | |
*P < 0.05; P values indicate comparisons between 2006 and 2014 and between 2015 and 2020 groups.
†Reoperation required.