Short-Term Results of Combined Open Reduction and Internal Fixation in the Treatment of Trans-Scaphoid Perilunate Fracture-Dislocation
- 20 September 2021
- journal article
- research article
- Published by Galenos Yayinevi in Eurasian Journal of Emergency Medicine
- Vol. 20 (3), 143-148
- https://doi.org/10.4274/eajem.galenos.2021.98475
Abstract
Aim: This study aimed to evaluate the short-term clinical and radiographic results of combined open reduction and internal fixation in the treatment of trans-scaphoid perilunate fracture-dislocation (TSPLFD). Materials and Methods: Data of eight patients diagnosed with TSPLFD who underwent combined open reduction and internal fixation and followed for a minimum of 8 months were retrospectively analyzed. All patients underwent surgical treatment with an Acutrak (R) screw, ligament repair using suture anchors, and Kirschner wire. The functional outcomes were evaluated using the modified Mayo Wrist Scores and total active range of motion scale. Radiographic outcomes were assessed based on standard X-ray images of the wrist. Results: Of the patients, seven were male and one was female, and the median age was 32 years (range: 20-44). The median follow-up duration was 12 months (range: 8-16). According to the TAROM scores, the outcomes were excellent and good in one and seven patients, respectively. The median Mayo Wrist Scores were 84 (range: 80-95). Good radiographic results were achieved in all patients. No surgery-related complications such as infection, loss of reduction, and Sudeck's atrophy were observed. Conclusion: Although TSPLFD is a rare condition, early diagnosis and surgical treatment yield favorable functional and radiographic results. However, post-traumatic arthritis and functional dissatisfaction may occur in the long term.Keywords
This publication has 13 references indexed in Scilit:
- Neuropathie des N. medianus nach perilunären LuxationsverletzungenHandchirurgie · Mikrochirurgie · Plastische Chirurgie, 2014
- VOLAR PERILUNATE TRANS-SCAPHOID DISLOCATION: A CASEHand Surgery, 2014
- Luxations et fractures-luxations périlunaires du carpe, étude rétrospective d’une série de 17 casChirurgie de la Main, 2012
- Perilunate InjuriesHAND, 2010
- Arthroscopically assisted percutaneous fixation for trans-scaphoid perilunate fracture dislocationJournal of Hand Surgery (European Volume), 2010
- Perilunate Dislocations and Transscaphoid Perilunate Fracture–Dislocations: A Retrospective Study With Minimum Ten-Year Follow-UpThe Journal of Hand Surgery, 2010
- Carpal DislocationsHand Clinics, 2006
- Dorsal Trans-Scaphoid Perilunate Dislocation in a 9-Year-Old ChildEuropean Journal of Pediatric Surgery, 2005
- Treatment of isolated perilunate and lunate dislocations with combined dorsal and volar approach and intraosseous cerclage wireThe Journal of Hand Surgery, 2004
- Dorsal perilunate dislocations and fracture-dislocations: Questionnaire, clinical, and radiographic evaluationThe Journal of Hand Surgery, 2000