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Published on: September 16, 2022
Arthroscopically assisted percutaneous fixation for trans-scaphoid perilunate fracture dislocation
1Department of Orthopaedic Surgery, Kyungpook National University Hospital, Daegu, Korea. jeonchoi@gmail.com
The Journal of Hand Surgery, European Volume
|July 13, 2010
Summary
Arthroscopically assisted percutaneous screw fixation and bone grafting offer a minimally invasive approach for treating trans-scaphoid perilunate fracture dislocations. This technique resulted in good functional outcomes and solid bone union in patients.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Hand and Wrist Surgery
Background:
- Trans-scaphoid perilunate fracture dislocation is a severe carpal injury characterized by significant disruption of wrist structures.
- Traditional open surgical treatment is considered the standard approach for managing this complex fracture dislocation.
Purpose of the Study:
- To evaluate the efficacy of arthroscopically assisted percutaneous screw fixation and bone grafting for treating trans-scaphoid perilunate fracture dislocation.
- To assess the functional outcomes, union rates, and complication profile of this minimally invasive technique.
Main Methods:
- Four patients diagnosed with trans-scaphoid perilunate fracture dislocation were treated using arthroscopically assisted percutaneous screw fixation.
- Bone grafting was utilized in conjunction with screw fixation to promote healing.
- Percutaneous techniques were employed to minimize surgical invasiveness.
Main Results:
- All patients achieved solid bone union, with no instances of nonunion or malunion reported.
- The functional outcomes were reported as good across all treated patients.
- Complications and overall morbidity were relatively low, with no evidence of instability, avascular necrosis, or midcarpal arthritis.
Conclusions:
- Arthroscopically assisted percutaneous screw fixation and bone grafting represent a viable and effective treatment option for trans-scaphoid perilunate fracture dislocation.
- This minimally invasive approach can lead to favorable functional results, solid union, and a low complication rate compared to traditional open surgery.
