Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study
Background: Drop hand, resulting from radial nerve injuries, causes functional and structural disabilities. Tendon transfer becomes the last option when nerve repair fails to achieve restoration. The most popular method is the Jones tendon transfer to restore wrist dorsiflexion and extension of the...
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Universitas Airlangga
2021-09-01
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Series: | Journal Orthopaedi and Traumatology Surabaya |
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Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/25863 |
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author | Tito Sumarwoto Seti Aji Hadinoto Adhitya Indra Pradhana |
author_facet | Tito Sumarwoto Seti Aji Hadinoto Adhitya Indra Pradhana |
author_sort | Tito Sumarwoto |
collection | DOAJ |
description | Background: Drop hand, resulting from radial nerve injuries, causes functional and structural disabilities. Tendon transfer becomes the last option when nerve repair fails to achieve restoration. The most popular method is the Jones tendon transfer to restore wrist dorsiflexion and extension of the thumb and fingers. The Disabilities of the Arm, Shoulder, and Hand (DASH) score measures functional outcomes in patients with upper extremity injuries. This study aimed to assess the functional outcome and evaluate the DASH score in drop hand patients who underwent Jones tendon transfer surgery at Prof. Dr. R. Soeharso Orthopaedic Hospital Surakarta.
Methods: Data collected from medical records between January 2014 and June 2016 were evaluated based on functional outcome and DASH score. Eleven patients were included, comprising ten male patients (90.9%) and one female patient (9.1%). The mean age of the patients was 27.4 years. The right arm was the most frequently injured, accounting for eight patients (72.7%), while the left arm was injured in three patients (27.3%).
Results: The DASH score evaluation indicated minimal disability in ten patients (90.9%) and moderate disability in one patient (9.1%). The average score was 12.48, indicating that most patients could cope with most daily living activities postoperatively.
Conclusions: Surgical intervention for drop hand due to radial nerve palsy using the Jones tendon transfer technique yielded a satisfactory functional outcome based on the DASH score. |
format | Article |
id | doaj-art-44b31d0892fc4299ac05fa9bd6e594f2 |
institution | Kabale University |
issn | 2722-712X 2460-8742 |
language | English |
publishDate | 2021-09-01 |
publisher | Universitas Airlangga |
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series | Journal Orthopaedi and Traumatology Surabaya |
spelling | doaj-art-44b31d0892fc4299ac05fa9bd6e594f22025-02-12T07:28:29ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422021-09-01102394510.20473/joints.v10i2.2021.39-4521167Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective StudyTito Sumarwoto0https://orcid.org/0000-0002-1403-6667Seti Aji Hadinoto1https://orcid.org/0000-0001-7045-5041Adhitya Indra Pradhana2https://orcid.org/0000-0001-8685-432XDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret - Prof. Dr. R. Soeharso Orthopaedic Hospital - Dr. Moewardi General Hospital, Surakarta, IndonesiaDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret - Prof. Dr. R. Soeharso Orthopaedic Hospital - Dr. Moewardi General Hospital, Surakarta, IndonesiaDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret - Prof. Dr. R. Soeharso Orthopaedic Hospital - Dr. Moewardi General Hospital, Surakarta, IndonesiaBackground: Drop hand, resulting from radial nerve injuries, causes functional and structural disabilities. Tendon transfer becomes the last option when nerve repair fails to achieve restoration. The most popular method is the Jones tendon transfer to restore wrist dorsiflexion and extension of the thumb and fingers. The Disabilities of the Arm, Shoulder, and Hand (DASH) score measures functional outcomes in patients with upper extremity injuries. This study aimed to assess the functional outcome and evaluate the DASH score in drop hand patients who underwent Jones tendon transfer surgery at Prof. Dr. R. Soeharso Orthopaedic Hospital Surakarta. Methods: Data collected from medical records between January 2014 and June 2016 were evaluated based on functional outcome and DASH score. Eleven patients were included, comprising ten male patients (90.9%) and one female patient (9.1%). The mean age of the patients was 27.4 years. The right arm was the most frequently injured, accounting for eight patients (72.7%), while the left arm was injured in three patients (27.3%). Results: The DASH score evaluation indicated minimal disability in ten patients (90.9%) and moderate disability in one patient (9.1%). The average score was 12.48, indicating that most patients could cope with most daily living activities postoperatively. Conclusions: Surgical intervention for drop hand due to radial nerve palsy using the Jones tendon transfer technique yielded a satisfactory functional outcome based on the DASH score.https://e-journal.unair.ac.id/JOINTS/article/view/25863dash scoredrop handjones’ tendon transferretrospective studytraffic accidents |
spellingShingle | Tito Sumarwoto Seti Aji Hadinoto Adhitya Indra Pradhana Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study Journal Orthopaedi and Traumatology Surabaya dash score drop hand jones’ tendon transfer retrospective study traffic accidents |
title | Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study |
title_full | Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study |
title_fullStr | Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study |
title_full_unstemmed | Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study |
title_short | Functional Outcome by Evaluation of DASH Score on Drop Hand Patient Treated with Jones’ Tendon Transfer: A Retrospective Study |
title_sort | functional outcome by evaluation of dash score on drop hand patient treated with jones tendon transfer a retrospective study |
topic | dash score drop hand jones’ tendon transfer retrospective study traffic accidents |
url | https://e-journal.unair.ac.id/JOINTS/article/view/25863 |
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