Comparative Outcome Analysis of Arthroscopic-Assisted Versus Open Reduction and Fixation of Trans-scaphoid Perilunate Fracture Dislocations

Oh, Won-Taek; Choi, Youn Jin; Kang, Ho-Jung; Koh, Il-Hyun; Lim, Kyung-Han

doi:10.1016/j.arthro.2016.07.018

Cited by 26 publications

(23 citation statements)

References 28 publications

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“…In 2017, our research team reported on 11 dorsal TSPLFDs treated with arthroscopic-assisted reduction and internal fixation and nine patients with ORIF through a dorsal approach who were reviewed at an average of 2-year follow-up [60]. Though a small number of patients and a low statistical power were limitations, this was the first retrospective comparative study.…”

Section: Discussionmentioning

confidence: 99%

“…Other arthroscopic studies stated that arthritis did not occur, but the follow-up period was shorter [18,55]. The incidence of radiologic arthritis and clinical outcomes are not proportional, and longer follow-up is required to evaluate this issue [53,60].…”

Section: Discussionmentioning

confidence: 99%

“…With a conventional open procedure, there is greater exposure, more capsular and soft tissue scarring will occur, and postoperative fibrosis and stiffness will increase. From this point of view, many surgeons recently described arthroscopic surgical techniques for TSPLFD [18,[55][56][57][58][59][60] and the arthroscopic approach is preferred by the senior author [60]. Though technically challenging, arthroscopic reduction and internal fixation are possible and reliable for TSPLFD.…”

Section: Treatmentmentioning

confidence: 99%

“…Though technically challenging, arthroscopic reduction and internal fixation are possible and reliable for TSPLFD. Promising short-term results have been reported including improved postoperative ROM with less stiffness and short rehabilitation periods [18,55,59,60].…”

Section: Treatmentmentioning

confidence: 99%

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Trans-scaphoid Perilunate Fracture Dislocation

Kim¹,

Oh²,

Koh³

et al. 2021

Arch Hand Microsurg

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Trans-scaphoid perilunate fracture dislocations, which account for more than half of total cases of perilunate injuries, are common in young patients and occur as a result of high-energy injuries, and improper management can impair wrist alignment and function. Understanding the related wrist anatomy and pathomechanics may help surgeons evaluate and diagnose patients. Early operation to reduce and fix the injuries should be considered to achieve optimal clinical and radiological outcomes. In this review article, we present an overview of wrist pathoanatomy, the pathomechanics of trans-scaphoid perilunate fracture dislocations, operative treatment options including an arthroscopic procedure, and reported clinical and radiological outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

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Trans-scaphoid Perilunate Fracture Dislocation

Kim¹,

Oh²,

Koh³

et al. 2021

Arch Hand Microsurg

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“…functions-a marker of return to work and daily activities. Because of the various surgical approaches and procedures of treatment, the literature reports varying wrist grip strengths from 67 %-81,1 %compared with the contralateral side 2,15,18 . In the current study, upon evaluation of grip strength by using the Jamar device, the grip strength of the operated wrist was measured as 80 %compared with the contralateral side.…”

Section: Disclaimer: Nonementioning

confidence: 99%

Early Results of Early Intervention in Patients with Perilunate Dislocation and Fractured Dislocation

Akalın¹,

Cansabuncu²,

Çevik³

et al. 2019

Kafkas J Med Sci

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Aim: Perilunate injuries are rare and often caused by high-energy trauma. Despite surgical treatment, there can still be a high incidence of functional dissatisfaction and post-traumatic arthritis. This study aimed to evaluate the functional and radiological results with early surgical intervention in patients with perilunate injuries.Material and Method: This study included 12 patients who had early surgical treatment for perilunate dislocation and fracture. The patients were evaluated per the Herzberg classification. The Mayo wrist score and DASH score aided in the evaluation of functional results. Grip strength was measured using a Jamar Dynamometer. Radiological evaluations were performed by comparing the wrist radiographs.Results: The mean age of the patients was 37±13.9 years (21-64 years). The mean follow-up period was 26. 83±11.26 months (6-44 months). The Mayo wrist score was poor in 2 patients, satisfactory in 3, good in 5 and excellent in 2. The mean Mayo score was 73.7 (55-90), and the mean DASH score was 19. 93±17.22 (5-68.3). Radiographic examination revealed post-traumatic arthritis in 3 patients and carpal collapse in 1 patient. The range of motion and grip strength of the wrist joint was statistically different than that of the contralateral extremity. Conclusion:In the long-term follow-up, negative results of perilunate and lunate fractures and dislocations surgical treatment may be improved slightly. In our study and clinical experience, open surgery within the first 24 hours may minimize negative results.

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Perilunate Injuries: Open Management

Zelenski,

Schaeffer

2024

Carpal Instability

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Comparative Outcome Analysis of Arthroscopic-Assisted Versus Open Reduction and Fixation of Trans-scaphoid Perilunate Fracture Dislocations

Cited by 26 publications

References 28 publications

Trans-scaphoid Perilunate Fracture Dislocation

Trans-scaphoid Perilunate Fracture Dislocation

Early Results of Early Intervention in Patients with Perilunate Dislocation and Fractured Dislocation

Perilunate Injuries: Open Management

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