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Medium-Term Patient-Reported Outcomes after Surgical Management of Perilunate Injury: A Multiinstitutional Experience
Andrew M Gabig1, Samuel H Payne1, Adam Whitsett2
1Department of Orthopaedic Surgery, Emory University, Atlanta, Georgia.
Journal of Wrist Surgery
|September 25, 2025
Summary
Perilunate injuries (PLIs) cause significant morbidity, impacting return to work. Surgical management, including open reduction with scapholunate (SL) repair, is standard, but outcomes vary.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Trauma Surgery
Background:
- Perilunate injuries (PLIs) lack a consensus on optimal surgical treatment.
- Open reduction with internal fixation and scapholunate (SL) ligament repair is common.
- Additional procedures like lunotriquetral (LT) ligament repair or carpal tunnel release (CTR) may be considered.
Purpose of the Study:
- To evaluate patient-reported outcomes (PROs) following surgical intervention for PLIs.
- To analyze the impact of surgical management on patient function and satisfaction.
Main Methods:
- Retrospective review of 87 patients with surgically treated PLIs from 2014-2020.
- Prospective collection and analysis of patient-reported outcomes (PROs).
- Evaluation of demographics, radiographic data, and surgical details.
Main Results:
- Average time to surgery was 4 days; 26% presented with median neuropathy.
- Thirty-seven patients provided PROs, with average pain, function, and total scores of 22, 14.4, and 37, respectively.
- 16% were unable to return to work, with an average return-to-work interval of 6.3 months.
Conclusions:
- PLIs lead to substantial morbidity and affect return to work.
- Concurrent CTR without neurological symptoms did not alter outcomes.
- Further research into optimal PLI surgical strategies is warranted.
