Safety Study of Surgical Technique to Treat Acute Dorsal Trans-Scaphoid Perilunate Dislocations (ADTPD)

The Second Hospital of Qinhuangdao

Status: Completed

Conditions: Grip Strength; Functional Status; Operative Time; Pain

Treatments: Procedure: Open reduction and internal fixation

Study type: Interventional

Funder types: Other

Identifiers

NCT00738127

SHQ-0808-A

Details and patient eligibility

About

The purpose of this study is to determine a surgical technique is effective in the treatment of acute dorsal trans-scaphoid perilunate dislocations.

Full 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.

Enrollment: 801 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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801 participants in 2 patient groups

1

Experimental group

Description:

Group I (treatment with our technique) Eighteen patients (18 wrists) were available for long-term follow-up at an average of 47.8 months after surgery. There were 11 men and seven women. Their mean age at the time of surgery was 35.4 years (range, 22 to 56 years). The dominant hand was involved in 12 patients and the nondominant hand, in six.

Treatment:

Procedure: Open reduction and internal fixation

2

Experimental group

Description:

Group II (treatment with Inoue et al.'s technique) Fifteen patients (15 wrists) were evaluated at an average of 51 months. Nine patients were men and 6 were women. The mean age of the group at the time of surgery was 37.5 years (range, 24 to 58 years). The dominant hand was involved in 10 and nondominant hand, in seven.

Treatment:

Procedure: Open reduction and internal fixation