Operative Treatment of Perilunar Fracture Dislocation

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Journal of the Korean Society for Surgery of the Hand 2002;7(1):23-27.
Published online January 1, 2002.

Jong-Woong Park, Kwang-Suk Lee, Sung-Kon Kim, Jung-Ho Park, Joon-Seok Hong, Kwang-Jun Oh, Jin-Hyup Shin

월상골 주위 골절탈구의 수술적 치료

박종웅, 이광석, 김성곤, 박정호, 홍준석, 오광준, 신진협

Abstract

Purpose
: This clinical study is to know the results of open reduction and internal fixation for the perilunar fracture dislocation. Materials and Methods : We performed open reduction and internal fixation with interosseous ligament repair for 10 cases (9 patients) of perilunar fracture dislocations. Perilunar dislocations without fracture were 2 cases and perilunar dislocations with fracture were 8 cases. Average follow up period was 26 months. For the evaluation of clinical results, final flexion-extension arc, radio-ulnar deviation arc and grip strength were measured and compared with the uninjured side. On the final radiographs, scapholunate angle was measured for the evaluation of intercarpal instability. Results : Average flexion-extension arc was recovered to 79% and grip strength was recovered to 82.8%. There was no intercarpal instability on the last follow up radiographs. Conclusion : Early diagnosis and operative intervention are essential for the favorable result in the perilunar fracture dislocation. The possibility of repair for the torn interosseous ligament is an advantage of the open reduction for the better result.

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