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...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Archives of bone and joint surgery 2020-09, Vol.8 (5), p.633-640
Hauptverfasser: Kazemian, Gholam Hossein, Khak, Mohammad, Ravarian, Behdad, Sarzaeem, Mohammad Mahdi, Okhovatpour, Mohammad Ali, Amouzadeh Omrani, Farzad
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 640
container_issue 5
container_start_page 633
container_title Archives of bone and joint surgery
container_volume 8
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
fullrecord <record><control><sourceid>pubmed</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7547164</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>33088866</sourcerecordid><originalsourceid>FETCH-LOGICAL-p266t-4cb1a1ca5da1f2704cfe39962119acaf6bb24d2d1c2d77977cb9e2847d98e0323</originalsourceid><addsrcrecordid>eNpVkNtKAzEQhoMoKrWPoOQFtua0Jy8EqVbFgmJb8G6ZTbJuZLtZkqzVJ_I1rVSlvZof5vs_hkHolJIRY4Rn51C--REjjIwE44KOGI3ZHjpe5zgSCX3Z_89CHKGh92-EEMoFIzE9REeckyzLkuQYfY0b67XCD9HKOI0n5gOCsS2urMOh1njuNISlbgO2FX7SzjR9C0Hja-MbKzcstGrNQeujmYSutkZtkxMHMvRup-LxyoTa9gFPzSv86G3v8bPuwLgLPKutC3iu3RJPbNPYVbToTtBBBY3Xw985QIvJzXx8F00fb-_HV9OoY0kSIiFLClRCrIBWLCVCVprnecIozUFClZQlE4opKplK0zxNZZlrlolU5ZkmnPEButx4u75caiXXpzlois6ZJbjPwoIpdjetqYtX-16ksUhpItaCs23Bf_Pv5fwbLNGLUg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><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><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Kazemian, Gholam Hossein ; Khak, Mohammad ; Ravarian, Behdad ; Sarzaeem, Mohammad Mahdi ; Okhovatpour, Mohammad Ali ; Amouzadeh Omrani, Farzad</creator><creatorcontrib>Kazemian, Gholam Hossein ; Khak, Mohammad ; Ravarian, Behdad ; Sarzaeem, Mohammad Mahdi ; Okhovatpour, Mohammad Ali ; Amouzadeh Omrani, Farzad</creatorcontrib><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><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>
fulltext fulltext
identifier ISSN: 2345-4644
ispartof Archives of bone and joint surgery, 2020-09, Vol.8 (5), p.633-640
issn 2345-4644
2345-461X
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7547164
source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
title Closed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-05T21%3A40%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmed&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Closed%20K-wire%20Fixation%20for%20the%20Treatment%20of%20Perilunate%20Dislocation%20and%20Trans-Scaphoid%20Perilunate%20Fracture%20Dislocations%20without%20Ligamentous%20Repair:%20Short%20Term%20Follow-Up&rft.jtitle=Archives%20of%20bone%20and%20joint%20surgery&rft.au=Kazemian,%20Gholam%20Hossein&rft.date=2020-09&rft.volume=8&rft.issue=5&rft.spage=633&rft.epage=640&rft.pages=633-640&rft.issn=2345-4644&rft.eissn=2345-461X&rft_id=info:doi/10.22038/abjs.2020.42341.2152&rft_dat=%3Cpubmed%3E33088866%3C/pubmed%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/33088866&rfr_iscdi=true