Gholam Hossein Kazemian 1 , Mohammad Khak 2 , Behdad Ravarian 2 , Mohammad Mahdi Sarzaeem 1 , Mohammad Ali Okhovatpour 3 , Farzad Amouzadeh Omrani 2 Show Affiliations »
Abstract
BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSION: 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. 2020 © BY THE ARCHIVES OF BONE AND JOINT SURGERY.
BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSION: 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. 2020 © BY THE ARCHIVES OF BONE AND JOINT SURGERY.
Entities: Chemical
Keywords:
igament; oint dislocations; one wire; ransscaphoid perilunate fracture dislocation; unate bone
Year: 2020
PMID： 33088866 PMCID： PMC7547164 DOI： 10.22038/abjs.2020.42341.2152
Source DB: PubMed Journal: Arch Bone Jt Surg ISSN： 2345-461X