Functional Outcome of Open Reduction of Chronic Perilunate Injuries

Massoud AHA, Naam NH (Al Azhar Univ, Cairo, Egypt; Southern Illinois Univ and Southern Illinois Hand Ctr, Effingham) J Hand Surg 37A:1852-1860, 2012^§

Abstract

Purpose

Perilunate injuries are complex and occasionally go unrecognized acutely. Open reduction and internal fixation is a valid treatment option for these injuries. The purpose of this study was to evaluate the functional outcome of treating chronic perilunate injuries with open reduction and internal fixation.

Methods

Between 1998 and 2007, we treated 24 patients for chronic perilunate injuries. We excluded 5 patients from this study because they underwent proximal row carpectomy or limited wrist arthrodesis. We treated the remaining 19 patients with open reduction and internal fixation. Mean time from injury to surgery was 29 weeks. All patients were men, with a mean age of 27 years. A total of 13 patients had fracture dislocations (group 1); of these, 11 were transscaphoid and 2 were transscaphoid transcapitate fracture dislocations. Six patients had perilunate dislocations (group 2).

Results

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