腓骨远端骨折固定术中的第一背室松解术可减轻已有德-克瓦温病患者的症状

Q3 Medicine Journal of Hand Surgery Global Online Pub Date : 2024-07-01 DOI:10.1016/j.jhsg.2024.03.009

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引用次数: 0

摘要

目的在桡骨远端骨折固定术中，第一背室松解是一种已描述过的技术。我们的目的是确定在桡骨远端骨折固定的沃尔法手术中松解第一背室是否会对已存在的德-夸尔曼病的相应症状产生影响。方法对在桡骨远端骨折固定的沃尔法手术中松解（松解组）或不松解（对照组）第一背室的患者进行了前瞻性随机队列研究。入组要求在桡骨远端骨折前 12 个月内确诊为德-夸尔曼病。结果术后 3 个月和 6 个月时，松解组患者的症状明显少于对照组。结论目前的结果表明，在短期随访期间，松解组与未松解组相比，德-克瓦恩病的症状明显减轻。这表明，在桡骨远端骨折固定术中常规进行第一背室松解术可加快缓解德-夸尔曼病患者的症状。

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First Dorsal Compartment Release During Volar Approach for Distal Radius Fracture Fixation Reduces Symptoms in Patients With Pre-Existing De Quervain Disease

Purpose

Release of the first dorsal compartment is a described technique during volar approach for distal radius fracture fixation. Our objective was to determine whether release of the first dorsal compartment during volar approach for distal radius fracture fixation impacted corresponding symptoms in pre-existing de Quervain disease.

Methods

A prospective, randomized cohort study was performed with patients grouped for release (release group) or no release (control group) of the first dorsal compartment during volar approach for distal radius fracture fixation. Inclusion required a confirmed diagnosis of de Quervain disease within the 12 months preceding a distal radius fracture.

Results

Patients in the release group were significantly less symptomatic than those in the control group at 3 and 6 months after surgery. Lateral pinch strength in the release group was significantly greater than that in the control group at 3 and 6 months after surgery.

Conclusions

The current results demonstrated a significantly greater reduction in de Quervain disease symptoms in the release group compared with the no release group during the short-term follow-up. This indicates that routine first dorsal compartment release during distal radius fracture fixation may expedite symptom relief in patients with de Quervain disease.