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

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