Operative Time, Grip Strength, Pain, Functional Status
Conditions
Keywords
Acute trans-scaphoid perilunate dislocations, Open reduction and internal fixation, Kirschner-wire, Range of motion
Brief summary
The purpose of this study is to determine a surgical technique is effective in the treatment of acute dorsal trans-scaphoid perilunate dislocations.
Detailed description
Open reduction and internal fixation is an effective method of treating acute trans-scaphoid perilunate dislocations. We study a new surgical technique that allows for early wrist excises postoperatively. We compare this technique to Inoue et al. 's techniques affect the objective and subjective outcomes. We also compared the long-term outcomes of these two procedures performed in similar patient groups.Although both groups had satisfactory results with regard to their pain relief, sufficient grip strength and union of scaphoid fracture, the technique using in group I was more easily and quickly to perform. It allows early postoperative excises and results better functional wrist range of motion.
Interventions
PROCEDUREOpen reduction and internal fixation
Inoue et al.'s technique is most commonly used which required placing three K-wires to immobilize both midcarpal joint and radiocarpal joint. This technique is effective, however, it has some problems. In the study, we improve the surgical technique.
Sponsors
The Second Hospital of Qinhuangdao
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Clinical treatment of acute trans-scaphoid perilunate dislocations * Must have open reduction and internal fixation
Exclusion criteria
* Patients whose age under 18 years * Associated with severe crush, avulsion, or opened injury
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In group I was more easily and quickly to perform. It allows early postoperative excises and results better functional wrist range of motion. | 1992-2004 |
Secondary
| Measure | Time frame |
|---|---|
| Both groups had satisfactory results with regard to their pain relief, sufficient grip strength and union of scaphoid fracture. | 1992-2004 |
Countries
China
Outcome results
None listed