Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Effect of Open Surgery in Comparison with Supportive Treatment on Improvement of Traumatic Triangular Fibrocartilage Complex: A Clinical Trial Study

Document Type : Original Article (s)

Authors
Mohamad Dehghani 1
Abolghasem Zareazadeh 2
Foad Ataei 3
Shaghayegh Dehghani 4
Shakiba Dehghani 4
1 Professor, Department of Orthopedic, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor, Department of Orthopedic, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Resident, Department of Orthopedic, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v38i598.12663
Abstract
Background: Notice to importance of traumatic triangular fibrocartilage complex (TFCC), this study aimed to compare the effect of open surgery and supportive medical treatment on the improvement of trauma and quality of life in patients with TFCC.Methods: In a clinical trial study, 32 patients with triangular fibrocartilage trauma were selected and randomly divided into two groups of intervention and control. The intervention group underwent open surgery and the control group were receiving supportive treatments as non-steroidal anti-inflammatory drugs (NSAIDS), physiotherapy, and corrective action. All patients were followed for 3 months after intervention, and quality of life and improvement was evaluated using Mayo score, and compared between the two groups.Findings: The mean Mayo score before intervention was 30.0 ± 7.8 and 29.4 ± 10.7 in open surgery and supportive treatment groups, respectively, and no statistically difference was seen between the two groups (P = 0.560). The mean Mayo score after intervention was 68.2 ± 6.4 and 42.2±10.3 in surgery and supportive treatment groups, respectively, and the difference between groups was statistically significant (P < 0.001).Conclusion: Our study showed that open surgery in patients with TFCC is better than the conservative treatment.
Keywords
Triangular fibrocartilage
Surgery
Hand
Trauma
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Journal of Isfahan Medical School
Volume 38, Issue 598 - Serial Number 598
September and October 2021
Pages 818-823

  • Receive Date 25 January 2020
  • Accept Date 06 April 2022