Closed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up
The purpose of this study was to evaluate the treatment outcomes of perilunate dislocations (PLDs) and transscaphoid perilunate fracture dislocations (TSPLDs) treated with operative volar approach without ligament repair or reconstruction. A total of seven patients (10 hands) were studied during 201...
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Veröffentlicht in: | Archives of bone and joint surgery 2020-09, Vol.8 (5), p.633-640 |
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creator | Kazemian, Gholam Hossein Khak, Mohammad Ravarian, Behdad Sarzaeem, Mohammad Mahdi Okhovatpour, Mohammad Ali Amouzadeh Omrani, Farzad |
description | The purpose of this study was to evaluate the treatment outcomes of perilunate dislocations (PLDs) and transscaphoid perilunate fracture dislocations (TSPLDs) treated with operative volar approach without ligament repair or reconstruction.
A total of seven patients (10 hands) were studied during 2017-2018. We fixed scaphoid fractures thorough a volar approach and 3 k-wires were inserted to stabilize the scaphoid to the adjacent bones. We evaluated patients' range of motion by VAS and grip strength, sensitivity assessment, and radiographs. Mayo and DASH scores were also recorded for wrist evaluation.
All fractures united well. The mean Mayo wrist score was 81.5. Five patients scored good and excellent results (90-100). Excellent DASH scores (˂20) were observed in 4 patients and there was no poor DASH score (˃50).
Treatment of PLDs and TSPLDs with k-wire and screw fixation using a volar approach and without any ligament repair or reconstruction results in minimal manipulation and has favorable short-term outcomes. |
doi_str_mv | 10.22038/abjs.2020.42341.2152 |
format | Article |
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A total of seven patients (10 hands) were studied during 2017-2018. We fixed scaphoid fractures thorough a volar approach and 3 k-wires were inserted to stabilize the scaphoid to the adjacent bones. We evaluated patients' range of motion by VAS and grip strength, sensitivity assessment, and radiographs. Mayo and DASH scores were also recorded for wrist evaluation.
All fractures united well. The mean Mayo wrist score was 81.5. Five patients scored good and excellent results (90-100). Excellent DASH scores (˂20) were observed in 4 patients and there was no poor DASH score (˃50).
Treatment of PLDs and TSPLDs with k-wire and screw fixation using a volar approach and without any ligament repair or reconstruction results in minimal manipulation and has favorable short-term outcomes.</description><identifier>ISSN: 2345-4644</identifier><identifier>EISSN: 2345-461X</identifier><identifier>DOI: 10.22038/abjs.2020.42341.2152</identifier><identifier>PMID: 33088866</identifier><language>eng</language><publisher>Iran: Mashhad University of Medical Sciences</publisher><ispartof>Archives of bone and joint surgery, 2020-09, Vol.8 (5), p.633-640</ispartof><rights>2020 © BY THE ARCHIVES OF BONE AND JOINT SURGERY.</rights><rights>2020 © BY THE ARCHIVES OF BONE AND JOINT SURGERY</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7547164/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7547164/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,729,782,786,887,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33088866$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kazemian, Gholam Hossein</creatorcontrib><creatorcontrib>Khak, Mohammad</creatorcontrib><creatorcontrib>Ravarian, Behdad</creatorcontrib><creatorcontrib>Sarzaeem, Mohammad Mahdi</creatorcontrib><creatorcontrib>Okhovatpour, Mohammad Ali</creatorcontrib><creatorcontrib>Amouzadeh Omrani, Farzad</creatorcontrib><title>Closed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up</title><title>Archives of bone and joint surgery</title><addtitle>Arch Bone Jt Surg</addtitle><description>The purpose of this study was to evaluate the treatment outcomes of perilunate dislocations (PLDs) and transscaphoid perilunate fracture dislocations (TSPLDs) treated with operative volar approach without ligament repair or reconstruction.
A total of seven patients (10 hands) were studied during 2017-2018. We fixed scaphoid fractures thorough a volar approach and 3 k-wires were inserted to stabilize the scaphoid to the adjacent bones. We evaluated patients' range of motion by VAS and grip strength, sensitivity assessment, and radiographs. Mayo and DASH scores were also recorded for wrist evaluation.
All fractures united well. The mean Mayo wrist score was 81.5. Five patients scored good and excellent results (90-100). Excellent DASH scores (˂20) were observed in 4 patients and there was no poor DASH score (˃50).
Treatment of PLDs and TSPLDs with k-wire and screw fixation using a volar approach and without any ligament repair or reconstruction results in minimal manipulation and has favorable short-term outcomes.</description><issn>2345-4644</issn><issn>2345-461X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpVkNtKAzEQhoMoKrWPoOQFtua0Jy8EqVbFgmJb8G6ZTbJuZLtZkqzVJ_I1rVSlvZof5vs_hkHolJIRY4Rn51C--REjjIwE44KOGI3ZHjpe5zgSCX3Z_89CHKGh92-EEMoFIzE9REeckyzLkuQYfY0b67XCD9HKOI0n5gOCsS2urMOh1njuNISlbgO2FX7SzjR9C0Hja-MbKzcstGrNQeujmYSutkZtkxMHMvRup-LxyoTa9gFPzSv86G3v8bPuwLgLPKutC3iu3RJPbNPYVbToTtBBBY3Xw985QIvJzXx8F00fb-_HV9OoY0kSIiFLClRCrIBWLCVCVprnecIozUFClZQlE4opKplK0zxNZZlrlolU5ZkmnPEButx4u75caiXXpzlois6ZJbjPwoIpdjetqYtX-16ksUhpItaCs23Bf_Pv5fwbLNGLUg</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Kazemian, Gholam Hossein</creator><creator>Khak, Mohammad</creator><creator>Ravarian, Behdad</creator><creator>Sarzaeem, Mohammad Mahdi</creator><creator>Okhovatpour, Mohammad Ali</creator><creator>Amouzadeh Omrani, Farzad</creator><general>Mashhad University of Medical Sciences</general><scope>NPM</scope><scope>5PM</scope></search><sort><creationdate>202009</creationdate><title>Closed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up</title><author>Kazemian, Gholam Hossein ; Khak, Mohammad ; Ravarian, Behdad ; Sarzaeem, Mohammad Mahdi ; Okhovatpour, Mohammad Ali ; Amouzadeh Omrani, Farzad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p266t-4cb1a1ca5da1f2704cfe39962119acaf6bb24d2d1c2d77977cb9e2847d98e0323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Kazemian, Gholam Hossein</creatorcontrib><creatorcontrib>Khak, Mohammad</creatorcontrib><creatorcontrib>Ravarian, Behdad</creatorcontrib><creatorcontrib>Sarzaeem, Mohammad Mahdi</creatorcontrib><creatorcontrib>Okhovatpour, Mohammad Ali</creatorcontrib><creatorcontrib>Amouzadeh Omrani, Farzad</creatorcontrib><collection>PubMed</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of bone and joint surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kazemian, Gholam Hossein</au><au>Khak, Mohammad</au><au>Ravarian, Behdad</au><au>Sarzaeem, Mohammad Mahdi</au><au>Okhovatpour, Mohammad Ali</au><au>Amouzadeh Omrani, Farzad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Closed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up</atitle><jtitle>Archives of bone and joint surgery</jtitle><addtitle>Arch Bone Jt Surg</addtitle><date>2020-09</date><risdate>2020</risdate><volume>8</volume><issue>5</issue><spage>633</spage><epage>640</epage><pages>633-640</pages><issn>2345-4644</issn><eissn>2345-461X</eissn><abstract>The purpose of this study was to evaluate the treatment outcomes of perilunate dislocations (PLDs) and transscaphoid perilunate fracture dislocations (TSPLDs) treated with operative volar approach without ligament repair or reconstruction.
A total of seven patients (10 hands) were studied during 2017-2018. We fixed scaphoid fractures thorough a volar approach and 3 k-wires were inserted to stabilize the scaphoid to the adjacent bones. We evaluated patients' range of motion by VAS and grip strength, sensitivity assessment, and radiographs. Mayo and DASH scores were also recorded for wrist evaluation.
All fractures united well. The mean Mayo wrist score was 81.5. Five patients scored good and excellent results (90-100). Excellent DASH scores (˂20) were observed in 4 patients and there was no poor DASH score (˃50).
Treatment of PLDs and TSPLDs with k-wire and screw fixation using a volar approach and without any ligament repair or reconstruction results in minimal manipulation and has favorable short-term outcomes.</abstract><cop>Iran</cop><pub>Mashhad University of Medical Sciences</pub><pmid>33088866</pmid><doi>10.22038/abjs.2020.42341.2152</doi><tpages>8</tpages></addata></record> |
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title | Closed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up |
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