Old trans-scaphoid perilunar dislocation treated with dorsal approach
10.11659/jjssx.06E015102
- VernacularTitle:背侧入路治疗经舟骨月骨周围陈旧性背侧脱位
- Author:
Junwei HUANG
;
Wei HUANG
;
Jingsong ZHANG
- Publication Type:Journal Article
- Keywords:
trans-scaphoid pefilunar dislocation;
dorsal approach;
fracture fixation;
dorsal joint capsule reconstruction
- From:
Journal of Regional Anatomy and Operative Surgery
2016;(2):104-107
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of scaphoid fracture fixation through dorsal approach and dorsal joint capsule recon -struction in treatment of old trans-scaphoid perilunar dislocation .Methods From October 2010 to October 2013, 12 patients of old trans-scaphoid perilunar dislocation had been treated with open reduction and internal fixation as well as dorsal joint capsule reconstruction through dorsal approach.Among the 12 patients, 9 were males and 3 were females, and they were 22~54 years old (42.3 years old averagely). Preoperative and postoperative wrist functions were evaluated by visual analogue scale (VAS), range of motion (ROM), grip strength and Cooney's standard.Results All the 12 patients were followed-up for 15 to 28 months (24 months averagely).In the last follow-up, the aver-age VAS score was 1.6 point (0~6 point) , and 9 patients of them had no feeling of pain .According to the Cooney ’ s standard,the results were excellent in 2 cases, good in 8 cases, fair in 1 case,and bad in 1 case.The mean time of fracture union was 14~22 weeks (16.8 weeks averagely ) .Conclusion Scaphoid fracture fixation through dorsal approach and dorsal joint capsule reconstruction in treatment of old trans-scaphoid perilunar dislocation can receive good curative effect and satisfactory clinical effect .
