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Surgical management and functional outcomes of perilunate dislocations and fracture dislocations through the dorsal approach

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

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.

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Data availability

Data was collected from the patients reported in our hospital.

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Authors and Affiliations

  1. Department of Upper Limb and Microsurgery, KAT General Hospital, Athens, Greece

    Eleni Pappa, Chrysoula Argyrou, George Tetsios, Margarita-Michaela Ampadiotaki, Sophia Syngouna, Panagiotis Kanellos & Emmanouil Fandridis

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  1. Eleni Pappa
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  2. Chrysoula Argyrou
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Correspondence to Eleni Pappa.

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The authors report no conflict of interest.

Ethical approval

Ethical standard statement was obtained from the ethics committee and the institutional review board. Informed consent was obtained from all patients.

Human and animal rights

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.

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All patients enrolled in this study gave informed consent to participate and no identifying factors were used.

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Pappa, E., Argyrou, C., Tetsios, G. et al. Surgical management and functional outcomes of perilunate dislocations and fracture dislocations through the dorsal approach. Eur J Orthop Surg Traumatol (2024). https://doi.org/10.1007/s00590-024-03999-3

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