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
Hauptverfasser: Kazemian, Gholam Hossein, Khak, Mohammad, Ravarian, Behdad, Sarzaeem, Mohammad Mahdi, Okhovatpour, Mohammad Ali, Amouzadeh Omrani, Farzad
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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
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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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