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Management of trans-scaphoid perilunate dislocations

Herbert screw fixation, ligamentous repair and early wrist mobilization
  • G. Inoue
  • T. Imaeda
Original Article

Abstract

A retrospective review of 28 patients with 29 trans-scaphoid perilunate dislocations who underwent open reduction and Herbert screw fixation is presented. The majority of the patients had satisfactory results at 24 months of follow-up. A significantly better range of wrist motion was obtained in postoperative patients treated with cast immobilization for 4 weeks compared with those treated for longer than 5 weeks. The scaphoid fractures united well, with proper alignment of the carpal bones, regardless of the length of cast immobilization. We recommend open reduction, internal scaphoid fixation using a Herbert screw, carpal ligament repair and early cast removal in the management of trans-scaphoid perilunate dislocations.

Keywords

Immobilization Satisfactory Result Retrospective Review Open Reduction Screw Fixation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • G. Inoue
    • 1
  • T. Imaeda
    • 1
  1. 1.Department of Orthopaedic Surgery, Division of Hand SurgeryNagoya University School of MedicineHigashi-ku, NagoyaJapan

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