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Information Journal Paper

Title

Closed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up

Pages

  633-640

Abstract

 Background: The purpose of this study was to evaluate the treatment outcomes of perilunate dislocations (PLDs) and Transscaphoid perilunate fracture dislocations (TSPLDs) treated with operative volar approach without Ligament repair or reconstruction. Methods: A total of seven patients (10 hands) were studied during 2017-2018. We fixed scaphoid fractures thorough a volar approach and 3 k-wires were inserted to stabilize the scaphoid to the adjacent bones. We evaluated patients’ range of motion by VAS and grip strength, sensitivity assessment, and radiographs. Mayo and DASH scores were also recorded for wrist evaluation. Results: All fractures united well. The mean Mayo wrist score was 81. 5. Five patients scored good and excellent results (90-100). Excellent DASH scores (˂ 20) were observed in 4 patients and there was no poor DASH score (˃ 50). Conclusion: Treatment of PLDs and TSPLDs with k-wire and screw fixation using a volar approach and without any Ligament repair or reconstruction results in minimal manipulation and has favorable short-term outcomes.

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    APA: Copy

    KAZEMIAN, GHOLAM HOSSEIN, Khak, Mohammad, RAVARIAN, BEHDAD, SARZAEEM, MOHAMMAD MAHDI, OKHOVATPOUR, MOHAMMAD ALI, & Amouzadeh Omrani, Farzad. (2020). Closed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up. THE ARCHIVES OF BONE AND JOINT SURGERY, 8(5), 633-640. SID. https://sid.ir/paper/740034/en

    Vancouver: Copy

    KAZEMIAN GHOLAM HOSSEIN, Khak Mohammad, RAVARIAN BEHDAD, SARZAEEM MOHAMMAD MAHDI, OKHOVATPOUR MOHAMMAD ALI, Amouzadeh Omrani Farzad. Closed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up. THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2020;8(5):633-640. Available from: https://sid.ir/paper/740034/en

    IEEE: Copy

    GHOLAM HOSSEIN KAZEMIAN, Mohammad Khak, BEHDAD RAVARIAN, MOHAMMAD MAHDI SARZAEEM, MOHAMMAD ALI OKHOVATPOUR, and Farzad Amouzadeh Omrani, “Closed K-wire Fixation for the Treatment of Perilunate Dislocation and Trans-Scaphoid Perilunate Fracture Dislocations without Ligamentous Repair: Short Term Follow-Up,” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 8, no. 5, pp. 633–640, 2020, [Online]. Available: https://sid.ir/paper/740034/en

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