Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury

Background. The treatment of type I-B triangular fibrocartilage complex superficial injury is always a challenge to orthopedists. The traditional outside-in suture method often causes a risk of nervous irritation. We designed a modified outside-in suture through the joint capsule to repair the Palme...

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Autores principales:	Tonglong Xu, Xiaoyun Pan, Jingyi Mi
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/1815e849c5914372af3ebaef15384910
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spelling	oai:doaj.org-article:1815e849c5914372af3ebaef153849102021-11-22T01:09:39ZImproved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury1748-671810.1155/2021/8387813https://doaj.org/article/1815e849c5914372af3ebaef153849102021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/8387813https://doaj.org/toc/1748-6718Background. The treatment of type I-B triangular fibrocartilage complex superficial injury is always a challenge to orthopedists. The traditional outside-in suture method often causes a risk of nervous irritation. We designed a modified outside-in suture through the joint capsule to repair the Palmer I-B triangular fibrocartilage complex superficial injury. Methods. From December 2014 to December 2018, we retrospectively collected the medical records of 18 patients in our hospital who used the modified outside-in suture through the joint capsule to repair type I-B triangular fibrocartilage complex superficial injury. Among them, there were 12 males and 6 females, with an average age of 36.2 years. There were 6 cases on the left side and 12 cases on the right side. Record the healing time of all patients after surgery and the occurrence of related complications, and record the pain visual analogue scale (VAS), grip strength, wrist flexion and extension, radioulnar deviation and forearm rotation range of motion, modified Mayo wrist joint function score, and disability of arm-shoulder-hand (DASH) score before operation and at the last follow-up. Results. One patient was lost to follow-up, and a total of 17 patients received the final follow-up. Patients were followed up for 24 to 36 months, with an average of 29.6±3.0 months. No wound infection, nerve damage, or irritation occurred after the operation. At the last follow-up, 15 cases of wrist pain disappeared completely, and 2 cases had mild discomfort during exercise. At the last follow-up, VAS decreased from 3.8±0.7 points before operation to 0.8±0.7 points (P<0.05); grip strength increased from 15.1±3.1 kg before operation to 23.2±1.5 kg (P<0.05); wrist flexion and extension, radioulnar deflection, and forearm rotational mobility increased from 116.3±2.2°, 37.0±3.5°, and 141.6±2.2° before operation to 117.2±2.5° (P<0.05), 38.9±3.0° (P<0.05), and 142.4±1.9° (P<0.05), respectively; the modified Mayo wrist joint function score increased from 66.1±3.6 points to 82.5±3.9 points (P<0.05), of which 10 cases were excellent, 5 cases were good, 2 cases were fair, and the excellent and good rate was 88.2%; DASH score improved from 37.0±5.7 points preoperatively to 8.0±2.5 points (P<0.05). Conclusion. The modified outside-in suture through the joint capsule to repair the superficial injury of Palmer I-B triangular fibrocartilage complex has a good clinical effect and is worthy of clinical widespread promotion.Tonglong XuXiaoyun PanJingyi MiHindawi LimitedarticleComputer applications to medicine. Medical informaticsR858-859.7ENComputational and Mathematical Methods in Medicine, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Computer applications to medicine. Medical informatics R858-859.7 Tonglong Xu Xiaoyun Pan Jingyi Mi Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury
description	Background. The treatment of type I-B triangular fibrocartilage complex superficial injury is always a challenge to orthopedists. The traditional outside-in suture method often causes a risk of nervous irritation. We designed a modified outside-in suture through the joint capsule to repair the Palmer I-B triangular fibrocartilage complex superficial injury. Methods. From December 2014 to December 2018, we retrospectively collected the medical records of 18 patients in our hospital who used the modified outside-in suture through the joint capsule to repair type I-B triangular fibrocartilage complex superficial injury. Among them, there were 12 males and 6 females, with an average age of 36.2 years. There were 6 cases on the left side and 12 cases on the right side. Record the healing time of all patients after surgery and the occurrence of related complications, and record the pain visual analogue scale (VAS), grip strength, wrist flexion and extension, radioulnar deviation and forearm rotation range of motion, modified Mayo wrist joint function score, and disability of arm-shoulder-hand (DASH) score before operation and at the last follow-up. Results. One patient was lost to follow-up, and a total of 17 patients received the final follow-up. Patients were followed up for 24 to 36 months, with an average of 29.6±3.0 months. No wound infection, nerve damage, or irritation occurred after the operation. At the last follow-up, 15 cases of wrist pain disappeared completely, and 2 cases had mild discomfort during exercise. At the last follow-up, VAS decreased from 3.8±0.7 points before operation to 0.8±0.7 points (P<0.05); grip strength increased from 15.1±3.1 kg before operation to 23.2±1.5 kg (P<0.05); wrist flexion and extension, radioulnar deflection, and forearm rotational mobility increased from 116.3±2.2°, 37.0±3.5°, and 141.6±2.2° before operation to 117.2±2.5° (P<0.05), 38.9±3.0° (P<0.05), and 142.4±1.9° (P<0.05), respectively; the modified Mayo wrist joint function score increased from 66.1±3.6 points to 82.5±3.9 points (P<0.05), of which 10 cases were excellent, 5 cases were good, 2 cases were fair, and the excellent and good rate was 88.2%; DASH score improved from 37.0±5.7 points preoperatively to 8.0±2.5 points (P<0.05). Conclusion. The modified outside-in suture through the joint capsule to repair the superficial injury of Palmer I-B triangular fibrocartilage complex has a good clinical effect and is worthy of clinical widespread promotion.
format	article
author	Tonglong Xu Xiaoyun Pan Jingyi Mi
author_facet	Tonglong Xu Xiaoyun Pan Jingyi Mi
author_sort	Tonglong Xu
title	Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury
title_short	Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury
title_full	Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury
title_fullStr	Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury
title_full_unstemmed	Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury
title_sort	improved outside-in suture through the joint capsule to repair the palmer i-b triangular fibrocartilage complex superficial injury
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/1815e849c5914372af3ebaef15384910
work_keys_str_mv	AT tonglongxu improvedoutsideinsuturethroughthejointcapsuletorepairthepalmeribtriangularfibrocartilagecomplexsuperficialinjury AT xiaoyunpan improvedoutsideinsuturethroughthejointcapsuletorepairthepalmeribtriangularfibrocartilagecomplexsuperficialinjury AT jingyimi improvedoutsideinsuturethroughthejointcapsuletorepairthepalmeribtriangularfibrocartilagecomplexsuperficialinjury
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Improved Outside-In Suture through the Joint Capsule to Repair the Palmer I-B Triangular Fibrocartilage Complex Superficial Injury

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