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Sagerfors, Marcus, MD, PhDORCID iD iconorcid.org/0000-0002-5083-3591
Publications (10 of 38) Show all publications
Reiser, D., Szallasi, A. & Sagerfors, M. (2023). ALK1-negative primary cutaneous anaplastic large cell lymphoma of the hand and wrist [Letter to the editor]. Journal of Hand Surgery, European Volume, 48(3), 276-277
Open this publication in new window or tab >>ALK1-negative primary cutaneous anaplastic large cell lymphoma of the hand and wrist
2023 (English)In: Journal of Hand Surgery, European Volume, ISSN 1753-1934, E-ISSN 2043-6289, Vol. 48, no 3, p. 276-277Article in journal, Letter (Refereed) Published
Place, publisher, year, edition, pages
Sage Publications, 2023
National Category
Dermatology and Venereal Diseases
Identifiers
urn:nbn:se:oru:diva-103723 (URN)10.1177/17531934221150844 (DOI)000924152700001 ()36708220 (PubMedID)2-s2.0-85147454388 (Scopus ID)
Available from: 2023-01-30 Created: 2023-01-30 Last updated: 2023-12-08Bibliographically approved
Reiser, D., Sagerfors, M., Wretenberg, P., Pettersson, K. & Fischer, P. (2023). Clinical, Radiographic, and Patient-Perceived Outcome After Radial Hemi-Wrist Arthroplasty With a New Implant: 20 Cases With 5-Year Follow-up. Hand (New York, N.Y.), Article ID 15589447231151427.
Open this publication in new window or tab >>Clinical, Radiographic, and Patient-Perceived Outcome After Radial Hemi-Wrist Arthroplasty With a New Implant: 20 Cases With 5-Year Follow-up
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2023 (English)In: Hand (New York, N.Y.), ISSN 1558-9447, article id 15589447231151427Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Distal component loosening is a common mode of failure in total wrist arthroplasty (TWA). A radial hemi-wrist arthroplasty (RHWA) has the potential to avoid problems related to the distal component in TWA. The aim of this study is to investigate clinical outcomes following surgical treatment with a new RHWA design.

METHODS: In this pilot study of 20 consecutive RHWAs, patients were assessed preoperatively and postoperatively for range of motion, grip strength, Visual Analog Scale (VAS) pain scores, and functional scoring using Patient-Rated Wrist Evaluation (PRWE), Disabilities of the Arm, Shoulder, and Hand (DASH), and Canadian Occupational Performance Measure. Radiographs were analyzed at 12 months and 5 years (mean, 5.1 years) postoperatively.

RESULTS: A total of 46 secondary surgeries were undertaken in 16 wrists, including 7 revisions. Another 6 patients are waiting for revision to radiocarpal arthrodesis. In non-revised patients, the DASH and PRWE scores improved, and wrist range of motion remained largely unchanged except for wrist flexion, which decreased. The VAS pain score during activity was reduced, and hand grip strength remained largely unchanged.

CONCLUSIONS: The new implant resulted in improved functional scoring and improved VAS pain scores in non-revised patients, but many cases needed secondary surgery due to persistent pain. The high revision rate is a major concern, and further use of the implant in its current form cannot be recommended.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
Arthritis, hemi-wrist arthroplasty, osteoarthritis
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-104112 (URN)10.1177/15589447231151427 (DOI)36752076 (PubMedID)2-s2.0-85147680622 (Scopus ID)
Available from: 2023-02-09 Created: 2023-02-09 Last updated: 2023-12-08Bibliographically approved
Lundqvist, E., Olivecrona, H., Wretenberg, P. & Sagerfors, M. (2023). CT-Based Micromotion Analysis After Locking Plate Fixation of AO Type C Distal Radius Fractures. Indian Journal of Orthopaedics, 57(12), 2031-2039
Open this publication in new window or tab >>CT-Based Micromotion Analysis After Locking Plate Fixation of AO Type C Distal Radius Fractures
2023 (English)In: Indian Journal of Orthopaedics, ISSN 0019-5413, E-ISSN 1998-3727, Vol. 57, no 12, p. 2031-2039Article in journal (Refereed) Published
Abstract [en]

Background: Volar locking plate fixation (VLPF) is the most common method for operative fixation of distal radius fractures (DRF). The dorsal ulnar corner (DUC) can be difficult to stabilize as the fragment is small and not exposed when using the volar approach. The purpose of this study was to study fracture fragment migration after VLPF of AO type C DRF, using a volume registration technique of paired CT scans with special focus on the DUC fragment.

Materials and Methods: This pilot study included ten patients with AO type C DRF, all operated with VLPF. The primary outcome was radiographic outcome. Postoperative and 1-year scans were compared and analyzed. Fragment migration was assessed with CT-based micromotion analysis (CTMA), a software technique used for volume registration of paired CT scans.

Results: All plates were stable over time. Two patients showed signs of screw movement (0.2-0.35 mm and 0.35- > 1 mm respectively). Postoperative reduction was maintained, and there was no fragment migration at the 1-year follow-up except for one case with increased dorsal tilt. The DUC fragment was found in 8/10 cases, fixated in 7/8 cases, and not dislocated in any case at the 1-year follow-up.

Conclusion: The CTMA results indicate that variable-angle VLPF after AO type C DRF can yield and maintain a highly stable reduction of the fracture fragments. The DUC fragment remained stable regardless of the number of screws through the fragment. CT volume registration can be a valuable tool in the detailed assessment of fracture fragment migration following volar plate fixation of DRFs.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Articular, Distal radius fractures, Computed tomography, Dorsal ulnar corner, Internal fixation, Micromotion analysis, Volar locking plate, Outcomes, Trauma, Wrist
National Category
Surgery Orthopaedics
Identifiers
urn:nbn:se:oru:diva-109913 (URN)10.1007/s43465-023-01020-3 (DOI)001098629300001 ()38026840 (PubMedID)2-s2.0-85175634215 (Scopus ID)
Funder
Örebro UniversityRegion Örebro County
Available from: 2023-11-29 Created: 2023-11-29 Last updated: 2024-01-12Bibliographically approved
Lundqvist, E., Olivecrona, H., Wretenberg, P. & Sagerfors, M. (2023). CT-based micromotion analysis of fracture fragment migration after locking plate fixation of AO type C distal radius fractures. In: FESSH-EFSHT 2023 Congress: Abstract Book. Paper presented at FESSH-EFSHT 2023 Congress, Rimini, Italy, 10-13 May, 2023 (pp. 22-23). , Article ID A-0047.
Open this publication in new window or tab >>CT-based micromotion analysis of fracture fragment migration after locking plate fixation of AO type C distal radius fractures
2023 (English)In: FESSH-EFSHT 2023 Congress: Abstract Book, 2023, p. 22-23, article id A-0047Conference paper, Oral presentation with published abstract (Other academic)
National Category
Surgery Orthopaedics
Identifiers
urn:nbn:se:oru:diva-109599 (URN)
Conference
FESSH-EFSHT 2023 Congress, Rimini, Italy, 10-13 May, 2023
Available from: 2023-11-06 Created: 2023-11-06 Last updated: 2023-11-06Bibliographically approved
Sagerfors, M., Hedspång, M. & Reiser, D. (2023). NanoScope in WALANT vsMRI in diagnosing acute ligament-tears of the wrist, 30 consecutivecases. In: International Guest Society ePoster Abstract Book: . Paper presented at 79th Annual Meeting ASSH, Toronto, Kanada, 5-7/10, 2023.. , Article ID IGS0015.
Open this publication in new window or tab >>NanoScope in WALANT vsMRI in diagnosing acute ligament-tears of the wrist, 30 consecutivecases
2023 (English)In: International Guest Society ePoster Abstract Book, 2023, article id IGS0015Conference paper, Poster (with or without abstract) (Other academic)
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-109616 (URN)
Conference
79th Annual Meeting ASSH, Toronto, Kanada, 5-7/10, 2023.
Available from: 2023-11-07 Created: 2023-11-07 Last updated: 2023-11-07Bibliographically approved
Sagerfors, M. & Reiser, D. (2023). Pseudotumor metallosisafter Maestro Total Wrist Arthroplasty. In: International Guest Society ePoster Abstract Book: . Paper presented at 79th Annual Meeting ASSH, Toronto, Kanada, 5-7/10, 2023.. , Article ID IGS0009.
Open this publication in new window or tab >>Pseudotumor metallosisafter Maestro Total Wrist Arthroplasty
2023 (English)In: International Guest Society ePoster Abstract Book, 2023, article id IGS0009Conference paper, Poster (with or without abstract) (Other academic)
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-109617 (URN)
Conference
79th Annual Meeting ASSH, Toronto, Kanada, 5-7/10, 2023.
Available from: 2023-11-07 Created: 2023-11-07 Last updated: 2023-11-07Bibliographically approved
Jakobsson, H., Lundqvist, E., Wretenberg, P. & Sagerfors, M. (2023). Pulp-to-palm distance after plate fixation of a distal radius fracture corresponds to functional outcome. Archives of physiotherapy, 13(1), Article ID 6.
Open this publication in new window or tab >>Pulp-to-palm distance after plate fixation of a distal radius fracture corresponds to functional outcome
2023 (English)In: Archives of physiotherapy, E-ISSN 2057-0082, Vol. 13, no 1, article id 6Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Several factors can influence the outcome after a distal radius fracture (DRF). The aim of this study was to assess whether postoperative pulp-to-palm (PTP) distance correlated with functional outcomes after plate fixation of DRF. MATERIALS &

METHODS: This is a secondary analysis of a randomized controlled trial aimed to investigate the effects of plate fixation in patients with type-C fractures. Subjects (N = 135) were divided into 2 groups based on PTP distance (equal to or higher than 0 cm) at 4 weeks postoperatively. Outcome measures were collected prospectively at 3, 6 and 12 months and included Patient-Rated Wrist Evaluation (PRWE), Quick Disabilities of the Arm Shoulder and Hand (QuickDASH) scores, wrist range of motion (ROM), Visual Analog Scale (VAS) pain scores, and hand grip strength.

RESULTS: Overall, at 3 and 6 months patients with PTP > 0 cm had significantly worse outcomes (PRWE, QuickDASH, wrist ROM) than those with PTP =0 cm. At 12 months, QuickDASH and wrist ROM were still significantly worse. In the volar-plating subgroup, patients with PTP > 0 cm had significantly worse wrist ROM and grip strength at 3 months, but no significant differences were found in subsequent follow-ups. In the combined-plating group, patients with PTP > 0 cm had significantly worse QuickDASH, wrist ROM and grip strength at 3 months. At 6 and 12 months, wrist ROM was still significantly worse.

CONCLUSIONS: Measurement of PTP distance appears to be useful to identify patients likely to have worse outcome after plating of a DRF. This could be a tool to improve the allocation of hand rehabilitation resources.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Distal radius fracture, Outcome, Patient-related outcome measures, Plating, Pulp-to-palm distance, Rehabilitation, Wrist function
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-105118 (URN)10.1186/s40945-023-00159-4 (DOI)000999922000001 ()36941730 (PubMedID)2-s2.0-85150932411 (Scopus ID)
Available from: 2023-03-22 Created: 2023-03-22 Last updated: 2023-06-19Bibliographically approved
Lundqvist, E., Kempe, L., Krauss, W. & Sagerfors, M. (2023). Pyrolytic Carbon Hemiarthroplasty for Proximal Interphalangeal Joint Arthritis, Long-Term Follow-Up. Journal of Hand Surgery-American Volume
Open this publication in new window or tab >>Pyrolytic Carbon Hemiarthroplasty for Proximal Interphalangeal Joint Arthritis, Long-Term Follow-Up
2023 (English)In: Journal of Hand Surgery-American Volume, ISSN 0363-5023, E-ISSN 1531-6564Article in journal (Refereed) Epub ahead of print
Abstract [en]

PURPOSE: The purpose of this study was to assess the long-term clinical, subjective, and radiographic results of pyrocarbon hemiarthroplasty for proximal interphalangeal joint (PIPJ) arthritis at a single institution.

METHODS: Patients treated with a pyrolytic carbon hemiarthroplasty between 2005 and 2015 were contacted for a clinical follow-up visit. Patients were assessed before surgery, one year after surgery, and again after a mean of 11 years (range: 6-16 years). Objective outcomes were assessed with grip strength, pinch strength, and range of motion (ROM). Subjective outcomes were assessed by the Disabilities of the Arm, Shoulder, and Hand score, Canadian Occupational Performance Measure (performance and satisfaction), and Visual Analog Scale pain scores at rest and during activity. Radiographic assessments were completed according to Sweets and Stern as modified by Wagner et al.

RESULTS: A total of 68 fingers in 52 patients underwent PIPJ hemiarthroplasty. Thirty-six arthroplasties in 29 patients were available for the long-term follow-up, five patients had died, and the remaining cases were contacted by phone. Three cases were lost to follow-up. Preoperative diagnoses included 41 fingers with osteoarthritis or posttraumatic arthritis, and 27 fingers with inflammatory arthritis. Eight cases had undergone revision at the time of follow-up, and the 10-year implant survival was 72%. The revisions were performed after a mean of two years after surgery. Three patients had undergone soft-tissue procedures. Visual Analog Scale pain scores, Disabilities of the Arm, Shoulder, and Hand scores, and Canadian Occupational Performance Measure scores improved significantly compared with that before surgery. Grip strength and pinch grip remained unchanged. However, PIPJ ROM deteriorated significantly one year after surgery, when compared with that before surgery.

CONCLUSIONS: Pyrocarbon hemiarthroplasty of the PIPJ has an acceptable long-term implant survival, and the significant improvement in pain scores and patient-reported outcomes is maintained over time. Pyrocarbon hemiarthroplasty could be a viable option in the management of PIPJ arthritis. Patients should be advised that PIPJ ROM deteriorates over time.

TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Arthritis, osteoarthritis, proximal interphalangeal joint arthroplasty
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-110364 (URN)10.1016/j.jhsa.2023.11.007 (DOI)38069955 (PubMedID)2-s2.0-85179475354 (Scopus ID)
Funder
Region Örebro County
Available from: 2023-12-18 Created: 2023-12-18 Last updated: 2024-02-05Bibliographically approved
Reiser, D., Fischer, P., Pettersson, K., Wretenberg, P. & Sagerfors, M. (2023). Total Wrist Arthroplasty With a New Design, 20 Cases With 8-Year Follow-Up. Journal of Hand Surgery-American Volume
Open this publication in new window or tab >>Total Wrist Arthroplasty With a New Design, 20 Cases With 8-Year Follow-Up
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2023 (English)In: Journal of Hand Surgery-American Volume, ISSN 0363-5023, E-ISSN 1531-6564Article in journal (Refereed) Epub ahead of print
Abstract [en]

PURPOSE: Total wrist arthroplasty (TWA) is an established motion-preserving alternative to arthrodesis in the treatment of wrist arthritis, but post-TWA complications requiring additional surgery remain an issue. A new TWA design has been proposed. The purpose of this study was to report the outcome of a cohort study of 20 patients who underwent surgery using the new TWA design.

METHODS: Patients were assessed before surgery and at 1, 2, and 8 years after surgery for visual analog scale (VAS) pain scores, wrist range of motion, hand grip strength, and patient-reported outcome measures (PROMs). Radiographic examination was conducted for evidence of prosthetic loosening. Reasons for revision were analyzed.

RESULTS: In total, 24 reoperations were performed, including 12 revisions in 6 patients. Patient-reported outcome measures improved significantly at the 2-year follow-up compared with preoperative values. Hand grip strength, wrist extension, and VAS pain scores improved significantly at the 2-year follow-up. No radiographic loosening of the components was observed, but backing out of the carpal screws was noted in 16 of the 20 cases.

CONCLUSIONS: The new TWA resulted in improved VAS pain scores, PROMs, wrist extension, and hand grip strength. The high frequency of reoperation is a concern, and modification of the implant is needed.

TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Total wrist arthroplasty, arthritis, osteoarthritis
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-108319 (URN)10.1016/j.jhsa.2023.08.004 (DOI)37715756 (PubMedID)2-s2.0-85171679420 (Scopus ID)
Available from: 2023-09-18 Created: 2023-09-18 Last updated: 2023-12-08Bibliographically approved
Sagerfors, M., Jakobsson, H., Wretenberg, P., Brus, O. & Möller, M. (2023). Treatment and outcome of AO/OTA type C distal radius fractures: 12 199 fractures from the Swedish Fracture Register. Acta Orthopaedica Belgica, 89(2), 241-247
Open this publication in new window or tab >>Treatment and outcome of AO/OTA type C distal radius fractures: 12 199 fractures from the Swedish Fracture Register
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2023 (English)In: Acta Orthopaedica Belgica, ISSN 0001-6462, Vol. 89, no 2, p. 241-247Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to examine the epidemiology, treatment, and patient-reported outcome of AO/OTA type C distal radius fractures (DRF) using data from a large national fracture register. We used prospectively collected data from the Swedish Fracture Register covering all AO/OTA type C DRFs registered between April 2012 and December 2018. Data on fracture type, epidemiology, trauma-mechanism, and treatment had been recorded by the treating physician. Patients had been sent an outcome questionnaire including EQ-VAS, EQ-5D, and the SMFA at the time of injury and 12 months after. A total of 12 199 cases with AO/OTA type C fracture were identified. AO/OTA type C1 fracture was most common, with 5400 cases, followed by AO type C2 with 4304 and AO/OTA type C3 with 2495. Cast treatment and surgical treatment with volar locking plate fixation were the most common treatments. Patient-reported outcome measures worsened significantly one year after the fracture, and 56% reported moderate problems with pain and discomfort one year after the fracture. Patients treated with a volar plate reported a significantly larger deterioration in EQ-5D outcome compared to patients treated with a cast. No treatment method was found to be superior. A good outcome after a type C fracture is possible, but many patients do not recover completely. Our findings indicate a relatively better self-reported outcome for patients treated with a cast, but as treatment was not randomized the clinical relevance is unclear.

Place, publisher, year, edition, pages
Belgian Society of Orthopaedics and Traumatology, 2023
Keywords
Distal radius fracture, Epidemiology, Swedish fracture register, AO, OTA type C, patient -reported outcome measures
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-110865 (URN)10.52628/89.2.11473 (DOI)001124240400003 ()37924540 (PubMedID)2-s2.0-85174386730 (Scopus ID)
Funder
Region Örebro County, 939040
Available from: 2024-01-22 Created: 2024-01-22 Last updated: 2024-01-22Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-5083-3591

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