Carpus: Trauma

Open Reduction for Perilunate Injuries—Clinical Outcome and Patient Satisfaction

Kremer T, Wendt M, Riedel K, et al (The Univ of Heidelberg, Ludwigshafen, Germany) J Hand Surg 35A:1599-1606, 2010^§

Abstract

Purpose

Perilunate injuries cause severe carpal malalignment. Open reduction and internal fixation of these injuries has become the treatment of choice. This study evaluated clinical outcome and the patients’ perception of disability in activities of daily living after open reduction, ligament reconstruction, and/or internal fixation of the scaphoid. In addition, potential prognostic factors for functional outcome and individual perceptions of disability were analyzed and compared with radiologic findings.

Methods

This study consisted of a retrospective analysis of patients with perilunate dislocations or fracture dislocations (Mayfield stage 3/4) who were treated in a single institution from 1995 to 2004. Evaluation focused on postoperative radiologic results, range of motion, pain, sensitivity, grip strength, Mayo and Krimmer wrist scores, arthrosis, and the patients’ disability in performing activities of daily living (according to the Disabilities of the Arm, Shoulder, and Hand score).

Results

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