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Surgical management and functional outcomes of perilunate dislocations and fracture dislocations through the dorsal approach.
- Source :
-
European Journal of Orthopaedic Surgery & Traumatology . Jul2024, Vol. 34 Issue 5, p2751-2756. 6p. - Publication Year :
- 2024
-
Abstract
- Background: Perilunate dislocations and perilunate fracture dislocations (PLD/PLFDs) are rare injuries of the wrist, with surgical management leading to acceptable functional results. Purpose: The purpose of this study was to assess the functional outcomes of the patients of our department who were treated with surgical management of PLDs/PLFDs through dorsal approach, as well as to report any complications on their follow-up. Patients and methods: In this retrospective study, 52 patients with PLD/PLFD, fulfilling the inclusion and exclusion criteria of the study, underwent surgical management of their injury. All patients were followed up at 6 weeks, 12 weeks, 6 months, 1 year postoperatively with radiographic imaging as well as functional scores measured with the modified mayo wrist score and the QuickDASH questionnaire. Results: The mean postoperative modified Mayo score was 76.8 ± 8.8 and the mean QuickDASH score was 1.52 ± 2.18. Of the 52 cases, 20% had excellent results, 42% had good results, 29% had fair results and 9% had poor results as per the modified Mayo wrist score. No patient signed any symptoms of median nerve neuropathy. Conclusion: In conclusion, open reduction and internal fixation through dorsal approach is a reliable technique to manage perilunate injuries in spite of radiological evidence of wrist arthritis, as it also provides consistently good results in terms of functional outcomes. Level of evidence IV: Retrospective case series study. [ABSTRACT FROM AUTHOR]
- Subjects :
- *OPEN reduction internal fixation
*WOUNDS & injuries
*MEASUREMENT of angles (Geometry)
*QUESTIONNAIRES
*TREATMENT effectiveness
*RETROSPECTIVE studies
*DESCRIPTIVE statistics
*JOINT dislocations
*BONE fractures
*LONGITUDINAL method
*SURGICAL complications
*WRIST joint
*MEDICAL records
*ACQUISITION of data
*INTERNAL fixation in fractures
*ARTHRITIS
*CASE studies
*SUPINATION
*DATA analysis software
*EPIDEMIOLOGY
*WRIST injuries
*RANGE of motion of joints
*PRONATION
*PATIENT aftercare
*EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 16338065
- Volume :
- 34
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- European Journal of Orthopaedic Surgery & Traumatology
- Publication Type :
- Academic Journal
- Accession number :
- 178774565
- Full Text :
- https://doi.org/10.1007/s00590-024-03999-3