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Traumatic mechanisms and therapeutic results of the perilunate injuries
1Department of Orthopedic Surgery, Tokyo Medical University 6-7-1 Nishishinjuku Shinjuku-ku- Tokyo 160-0023, Japan. k-takase@muf.biglobe.ne.jp
Objective:
In this study, eighteen patients who have had perilunate injury with dislocation or fracture, were evaluated and the patho-mechanics and surgical treatment were studied.
Subjects And Methods:
According to the Green and O'Brien's classification, type 1 injury occurred in one patient, type 2 in nine, type 4A in five, type 4C in one and type 4D in one. The other one case could not be classified using the Green and O'Brien's criteria.
Results:
According to the Evans scoring system, good results were achieved in thirteen patients, fair results, in four, poor results in one and very poor results in none. When the patho-mechanics was estimated based on the Mayfield's criteria, seventeen patients were classified as stage 3. However only one case was extremely unusual and should be classified as a subtype of stage 2.
Conclusion:
The results were good in the majority of patients who had repair of perilunate injury.