title: Treatment of acute perilunate dislocations: ORIF versus proximal row carpectomy.
abstract: Some authors have proposed performing proximal row carpectomy (PRC) as the initial treatment for perilunate dislocations.
  
  
  
  The goal of this retrospective study was to compare the results of a cohort of perilunate dislocation cases that were operated by open reduction and internal fixation (ORIF) or by PRC between 2006 and 2011.
  
  
  
  The cohort consisted of 21 men with a mean age of 33years, who either had an isolated perilunate dislocation (7 cases) or a fracture-dislocation (14 cases). All dislocations were dorsal, with 10 stage I and 12 stage II. Thirteen patients had been treated by ORIF (group 1) a mean of 1.2days after the injury. Eight patients had been treated by PRC (group 2) a mean of 18.7days after the injury. Immobilization time was 6-12weeks in group 1 and 2weeks in group 2.
  
  
  
  The mean operative time was 95minutes in group 1 and 65minutes in group 2. After a mean follow-up of 35months, the following outcomes were found for groups 1 and 2, respectively: pain 3/10 and 1/10, strength 77% and 73%, strength in supination 79% and 93%, strength in pronation 67% and 95%, QuickDASH 27/100 and 16/100, PRWE 43/150 and 15.5/150, flexion 69% and 57%, extension 84% and 58%, pronation 97% and 103%, supination 98% and 97%. There were four cases of osteoarthritis in both groups.
  
  
  
  Treatment of acute perilunate dislocations by PRC leads to medium-term results that are at least as good as those with ORIF treatment. The surgery duration is shorter with PRC, as is the immobilization period.
  
  
  
  Retrospective comparative.
  
  
  
  III.
authors.affiliation: Hand Surgery Department, SOS Main, CCOM, University Hospital of Strasbourg, Translational Medicine Federation Strasbourg (FMTS), University of Strasbourg, CNRS Icube 7357-10, 10, Baumann Avenue, 67403 Illkirch Cedex, France.
authors.forename: T
authors.initials: T
authors.lastname: Muller
authors.affiliation: Hand Surgery Department, SOS Main, CCOM, University Hospital of Strasbourg, Translational Medicine Federation Strasbourg (FMTS), University of Strasbourg, CNRS Icube 7357-10, 10, Baumann Avenue, 67403 Illkirch Cedex, France.
authors.forename: J J
authors.initials: JJ
authors.lastname: Hidalgo Diaz
authors.affiliation: Hand Surgery Department, SOS Main, CCOM, University Hospital of Strasbourg, Translational Medicine Federation Strasbourg (FMTS), University of Strasbourg, CNRS Icube 7357-10, 10, Baumann Avenue, 67403 Illkirch Cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Pire
authors.affiliation: Hand Surgery Department, SOS Main, CCOM, University Hospital of Strasbourg, Translational Medicine Federation Strasbourg (FMTS), University of Strasbourg, CNRS Icube 7357-10, 10, Baumann Avenue, 67403 Illkirch Cedex, France.
authors.forename: G
authors.initials: G
authors.lastname: Prunières
authors.affiliation: Hand Surgery Department, SOS Main, CCOM, University Hospital of Strasbourg, Translational Medicine Federation Strasbourg (FMTS), University of Strasbourg, CNRS Icube 7357-10, 10, Baumann Avenue, 67403 Illkirch Cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.affiliation: Hand Surgery Department, SOS Main, CCOM, University Hospital of Strasbourg, Translational Medicine Federation Strasbourg (FMTS), University of Strasbourg, CNRS Icube 7357-10, 10, Baumann Avenue, 67403 Illkirch Cedex, France. Electronic address: Philippe.liverneaux@chru-strasbourg.fr.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
mesh_terms: D000293:Adolescent; D000328:Adult; D002348:Carpal Bones / Q000601:surgery; D050824:Carpal Joints / Q000293:injuries / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D000072039:Fracture Dislocation / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D012667:Lunate Bone / Q000293:injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D000070799:Open Fracture Reduction; D061646:Operative Time; D010003:Osteoarthritis / Q000209:etiology; D010147:Pain Measurement; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D055815:Young Adult
keywords: Carpus; ORIF; Perilunate dislocation; Proximal row carpectomy