title: Arthroscopically assisted percutaneous fixation for trans-scaphoid perilunate fracture dislocation.
abstract: Trans-scaphoid perilunate fracture dislocation is a complex carpal dislocation causing marked disruption of the carpal structures. Open treatment has been accepted as standard for this injury. We have used arthroscopically assisted percutaneous screw fixation and bone grafting to treat this injury in four patients. The functional outcome was good. All patients achieved solid union without nonunion or malunion. The complication and morbidity was relatively low; all patients had proper alignment and there was no evidence of instability or avascular necrosis or midcarpal arthritis.
authors.affiliation: Department of Orthopaedic Surgery, Kyungpook National University Hospital, Daegu, Korea. jeonchoi@gmail.com
authors.forename: I-H
authors.initials: IH
authors.lastname: Jeon
authors.forename: H-J
authors.initials: HJ
authors.lastname: Kim
authors.forename: W-K
authors.initials: WK
authors.lastname: Min
authors.forename: H-S
authors.initials: HS
authors.lastname: Cho
authors.forename: P-T
authors.initials: PT
authors.lastname: Kim
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D001863:Bone Screws; D016025:Bone Transplantation; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D012667:Lunate Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D055815:Young Adult