Short-term results of combined open reduction and internal fixation in the treatment of trans-scaphoid perilunate fracture-dislocationErdinç Acar1, Uğur Bezirgan21Associate Professor, Hand surgery, Orthopaedic Surgeon,Department of Orthopaedics and Traumatology, Ankara City Hospital, Hand and Upper Extremity Surgery Division, Ankara, Turkey 2Specialist,Hand surgery, Orthopaedic Surgeon, Department of Orthopaedics and Traumatology, Ankara City Hospital, Hand and Upper Extremity Surgery Division, Ankara, Turkey
Objective: In this study, we aimed to evaluate short-term clinical and radiographic results of combined open reduction and internal fixation in the treatment of trans-scaphoid perilunate fracture-dislocation (TSPLFD). Patients and Methods: A total of eight patients who underwent combined open reduction and internal fixation with the diagnosis of TSPLFD and followed for minimum eight months were retrospectively analyzed. All patients were surgically treated with an Acutrak® screw, ligament repair using suture anchors, and Kirschner wire. The functional outcomes were evaluated using the modified Mayo wrist scores and total active range of motion (TAROM) scale. Radiographic outcomes were assessed based on standard X-ray images of the wrist. Results: Of the patients, seven were males and one was female with a median age of 32 (range, 20 to 44) years. The median follow-up was 12 (range, 8 to 16) months. According to the TAROM scores, the results were excellent in one patient and good in seven patients. The median Mayo wrist scores were 84 (range, 80 to 95). Good radiographic results were achieved in all patients. No surgery-related complications such as infection, loss of reduction, or Sudeck's atrophy were observed. Conclusion: Although TSPLFD is rare, early diagnosis and surgical treatment yield favorable functional and radiographic results. However, post-traumatic arthritis and functional dissatisfaction may occur in the long-term. Keywords: Trans-scaphoid perilunate fracture-dislocation, dorsal approach, Acutrak screw, suture anchor, Kirschner wire.
Erdinç Acar, Uğur Bezirgan. Short-term results of combined open reduction and internal fixation in the treatment of trans-scaphoid perilunate fracture-dislocation. . 9999; 0: 0-0
Corresponding Author: Erdinç Acar, Türkiye |
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