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

Not Applicable

Completed

• Conditions: Pain; Functional Status; Operative Time; Grip Strength
• Interventions: Procedure: Open reduction and internal fixation

• Registration Number: NCT00738127
• Lead Sponsor: The Second Hospital of Qinhuangdao

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.

Study Timeline

• Study Start: 1992-10
• Primary Completion: 2004-06
• Study Completion: 2004-10
• Status Verified: 2008-08
• Study First Submitted: 2008-08-15
• Study First Submitted QC: 2008-08-19
• Last Update Submitted: 2008-08-19
• Study First Posted: 2008-08-20
• Last Update Posted: 2008-08-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 801

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
2	Open reduction and internal fixation	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.
1	Open reduction and internal fixation	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.

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

Name	Time	Method
Both groups had satisfactory results with regard to their pain relief, sufficient grip strength and union of scaphoid fracture.	1992-2004

Trial Locations

Locations (1)

The Second Hospital of Qinhuangdao; 🇨🇳 Qinhuangdao, Hebei, China