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Original Article 


Treatment of acute and subacute dorsal perilunate fracture dislocations

Levent Kucuk, Tackin Ozalp, Huseyin Gunay, Erhan Coskunol, Oguz Ozdemir.

Abstract
Objectives: We present the mid term results of dorsal perilunate fracture dislocations treated by open reduction and internal fixation via dorsal approach in the acute or subacute phase.
Methods: In this retrospective study we evaluated 13 patients treated in two different university hospitals by two different surgeons. The mean follow up time was 20,4 months. Bilateral range of wrist motion, grip and pinch strengths were measured. We used Quick Dash-T, Mayo wrist, VAS pain and VAS satisfaction scores for subjective assessment. Union of scaphoid fracture, presence of avascular necrosis, carpal height ratio, radioscaphoid and scapholunate angles were measured for radiologic evaluation.
Results: We found a 21% to 29% decrease in the range of wrist motion compared to the unaffected side. We also found an average 23% reduction in grip strength and a 20% reduction in pinch strength. Mean Quick Dash-T score was 32 and Mayo wrist score was 71.
Outcomes: Results of the perilunate fracture dislocations treated in acute or subacute phase by open reduction and internal fixation via dorsal approach are satisfactory. There is a strong demand for prospective, randomized studies to compare the results of different treatment modalities.

Key words: Carpal dislocations, dislocation, perilunate, scaphoid fracture, wrist


 
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How to Cite this Article
Pubmed Style

Levent Kucuk, Tackin Ozalp, Huseyin Gunay, Erhan Coskunol, Oguz Ozdemir. Treatment of acute and subacute dorsal perilunate fracture dislocations. Hand Microsurg. 2014; 3(1): 1-7. doi:10.5455/handmicrosurg.164399


Web Style

Levent Kucuk, Tackin Ozalp, Huseyin Gunay, Erhan Coskunol, Oguz Ozdemir. Treatment of acute and subacute dorsal perilunate fracture dislocations. http://handmicrosurgeryjournal.com/?mno=164399 [Access: August 31, 2020]. doi:10.5455/handmicrosurg.164399


AMA (American Medical Association) Style

Levent Kucuk, Tackin Ozalp, Huseyin Gunay, Erhan Coskunol, Oguz Ozdemir. Treatment of acute and subacute dorsal perilunate fracture dislocations. Hand Microsurg. 2014; 3(1): 1-7. doi:10.5455/handmicrosurg.164399



Vancouver/ICMJE Style

Levent Kucuk, Tackin Ozalp, Huseyin Gunay, Erhan Coskunol, Oguz Ozdemir. Treatment of acute and subacute dorsal perilunate fracture dislocations. Hand Microsurg. (2014), [cited August 31, 2020]; 3(1): 1-7. doi:10.5455/handmicrosurg.164399



Harvard Style

Levent Kucuk, Tackin Ozalp, Huseyin Gunay, Erhan Coskunol, Oguz Ozdemir (2014) Treatment of acute and subacute dorsal perilunate fracture dislocations. Hand Microsurg, 3 (1), 1-7. doi:10.5455/handmicrosurg.164399



Turabian Style

Levent Kucuk, Tackin Ozalp, Huseyin Gunay, Erhan Coskunol, Oguz Ozdemir. 2014. Treatment of acute and subacute dorsal perilunate fracture dislocations. Hand and Microsurgery, 3 (1), 1-7. doi:10.5455/handmicrosurg.164399



Chicago Style

Levent Kucuk, Tackin Ozalp, Huseyin Gunay, Erhan Coskunol, Oguz Ozdemir. "Treatment of acute and subacute dorsal perilunate fracture dislocations." Hand and Microsurgery 3 (2014), 1-7. doi:10.5455/handmicrosurg.164399



MLA (The Modern Language Association) Style

Levent Kucuk, Tackin Ozalp, Huseyin Gunay, Erhan Coskunol, Oguz Ozdemir. "Treatment of acute and subacute dorsal perilunate fracture dislocations." Hand and Microsurgery 3.1 (2014), 1-7. Print. doi:10.5455/handmicrosurg.164399



APA (American Psychological Association) Style

Levent Kucuk, Tackin Ozalp, Huseyin Gunay, Erhan Coskunol, Oguz Ozdemir (2014) Treatment of acute and subacute dorsal perilunate fracture dislocations. Hand and Microsurgery, 3 (1), 1-7. doi:10.5455/handmicrosurg.164399








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