Arthroscopic Reduction & Percutaneous Fixation for Dorsal Perilunate Injury - A New Technique -

Journal of the Korean Society for Surgery of the Hand 2003;8(1):13-20.
Published online January 1, 2003.

Min Jong Park

후방 월상골 주위 손상에 대한 관절경적 정복과 경피적 고정술 - 새로운 수술 수기-

박민종

Abstract

Perilunate injuries comprise severe disruption of the carpal anatomy that profoundly disturb wrist mechanics. Most authors advocate open reduction followed by ligament repair or internal fixation. We have tried to reduce and fix the carpal bone under arthroscopic control to reduce exposure, minimize soft tissue trauma, and promote healing process. Three cases of dorsal perilunate dislocations or fracture-dislocations were treated by arthroscopically assisted reduction and percutaneous fixation. All achieved successful reduction and stable fixation, resulting in uneventful healing of carpal fractures after eight to twelve weeks of immobilization. Arthroscopic management of dorsal perilunar injuries appears to be technically feasible and effective for anatomic reduction and percutaneous fixation. Clinical results need to be observed by prolonged follow-up.