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- Title
Early Results of Early Intervention in Patients with Perilunate Dislocation and Fractured Dislocation.
- Authors
Akalın, Yavuz; Cansabuncu, Gökhan; Çevik, Nazan; Öztürk, Alpaslan
- Abstract
Aim: Perilunate injuries are rare and often caused by high-energy trauma. Despite surgical treatment, there can still be a high incidence of functional dissatisfaction and post-traumatic arthritis. This study aimed to evaluate the functional and radiological results with early surgical intervention in patients with perilunate injuries. Material and Method: This study included 12 patients who had early surgical treatment for perilunate dislocation and fracture. The patients were evaluated per the Herzberg classification. The Mayo wrist score and DASH score aided in the evaluation of functional results. Grip strength was measured using a Jamar Dynamometer. Radiological evaluations were performed by comparing the wrist radiographs. Results: The mean age of the patients was 37±13.9 years (21-64 years). The mean follow-up period was 26.83±11.26 months (6-44 months). The Mayo wrist score was poor in 2 patients, satisfactory in 3, good in 5 and excellent in 2. The mean Mayo score was 73.7 (55-90), and the mean DASH score was 19.93±17.22 (5-68.3). Radiographic examination revealed post-traumatic arthritis in 3 patients and carpal collapse in 1 patient. The range of motion and grip strength of the wrist joint was statistically different than that of the contralateral extremity. Conclusion: In the long-term follow-up, negative results of perilunate and lunate fractures and dislocations surgical treatment may be improved slightly. In our study and clinical experience, open surgery within the first 24 hours may minimize negative results.
- Subjects
GRIP strength; WRIST; PERIPROSTHETIC fractures; SKELETAL maturity; DASH diet
- Publication
Kafkas Journal of Medical Sciences / Kafkas Tıp Bilimleri Dergisi, 2019, Vol 9, Issue 2, p60
- ISSN
2146-2631
- Publication type
Article
- DOI
10.5505/kjms.2019.23230