Surgical treatment of acute perilunate dislocations and fracture dislocation in a specialized center
DOI:
https://doi.org/10.25214/28056272.1176Keywords:
Articulaciones del carpo, Huesos del carpo, Hueso escafoides, Muñeca, Inestabilidad de la articulación, Fractura luxaciónAbstract
Introduction: Acute perilunate dislocations and fracture-dislocations are rare, high energy injuries and difficult to treat due to the extensive soft tissue, cartilage, and bone involvement. Different treatment options have been recommended with a recent trend in open reduction and internal fixation.
Objective: To evaluate a cohort of patients who received specific surgical treatment for acute perilunate dislocations and fracture dislocations in a specialized center in trauma and hand surgery.
Methods: Descriptive cross-sectional study performed in 20 patients diagnosed with acute perilunate dislocations and fracture-dislocations treated surgically. Patients who underwent surgery between February 2008 and February 2014 were assessed and sociodemographic data, trauma mechanism, follow-up time, visual analog pain scale, DASH scale and joint mobility arches were assessed. The clinical results were obtained through a personal interview and clinical assessment.
Results: The average age of the patients was 32 years old and the dominant hand was the most affected (80%). Perilunate dislocations were the most frequent (50%), followed by transscapholunar (40%) and transstyloradial (10%) dislocations. 2 complications were founded.
Conclusions: All patients underwent a timely surgical procedure and had a good recovery, so it is established that early surgical treatment (<72 hours) is an important factor in obtaining favorable clinical and functional results. This is the first study that analyzes the results of surgical management of these conditions in Colombia.
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