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Verfasst von:Kremer, Thomas [VerfasserIn]   i
 Wendt, Michael [VerfasserIn]   i
 Riedel, Kathrin [VerfasserIn]   i
 Sauerbier, Michael [VerfasserIn]   i
 Germann, Günter [VerfasserIn]   i
 Bickert, Berthold [VerfasserIn]   i
Titel:Open reduction for perilunate injuries - clinical outcome and patient satisfaction
Verf.angabe:Thomas Kremer, Michael Wendt, Kathrin Riedel, Michael Sauerbier, Guenter Germann, Berthold Bickert
E-Jahr:2010
Jahr:30 September 2010
Umfang:8 S.
Fussnoten:Gesehen am 01.03.2023
Titel Quelle:Enthalten in: The journal of hand surgery / American volume
Ort Quelle:Amsterdam [u.a.] : Elsevier, 1976
Jahr Quelle:2010
Band/Heft Quelle:35(2010), 10 vom: Sept., Seite 1599-1606
ISSN Quelle:1531-6564
Abstract:Purpose - Perilunate injuries cause severe carpal malalignment. Open reduction and internal fixation of these injuries has become the treatment of choice. This study evaluated clinical outcome and the patients' perception of disability in activities of daily living after open reduction, ligament reconstruction, and/or internal fixation of the scaphoid. In addition, potential prognostic factors for functional outcome and individual perceptions of disability were analyzed and compared with radiologic findings. - Methods - This study consisted of a retrospective analysis of patients with perilunate dislocations or fracture dislocations (Mayfield stage 3/4) who were treated in a single institution from 1995 to 2004. Evaluation focused on postoperative radiologic results, range of motion, pain, sensitivity, grip strength, Mayo and Krimmer wrist scores, arthrosis, and the patients' disability in performing activities of daily living (according to the Disabilities of the Arm, Shoulder, and Hand score). - Results - Of the 72 patients treated in the study period, 39 patients (all men) were available for complete follow-up (average, 65.5 mo). Thirty injuries were fracture dislocations; the dominant hand was injured in 14 cases. Normal scapholunate (SL) angles and Gilula arcs were achieved intraoperatively in 34 and 25 cases, respectively. At follow-up, 18 patients had larger than normal SL angles, and 6 patients had ulnar shifting of the carpus. Twenty patients were diagnosed with radiocarpal arthrosis. According to the Visual Analog Scale, pain was 1.8 at rest and 4.8 with activities. Average extension/flexion was 77°; radial/ulnar abduction was reduced to 42°. Average grip strength was reduced to an average of 36.6 kg (compared with 51.6 kg on the opposite side). Twenty-seven patients returned to their former occupations. Average Mayo and Krimmer wrist scores were both 70. The average Disabilities of the Arm, Shoulder, and Hand score was 23. - Conclusions - Satisfactory results can be achieved with open reduction for perilunate injuries. However, despite this treatment, loss of reduction and arthrosis are frequent findings. Radiologic results do not necessarily correlate with functional outcome; high patient satisfaction was observed in this study. - Type of study/level of evidence - Therapeutic IV.
DOI:doi:10.1016/j.jhsa.2010.06.021
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.jhsa.2010.06.021
 Volltext: https://www.sciencedirect.com/science/article/pii/S0363502310007586
 DOI: https://doi.org/10.1016/j.jhsa.2010.06.021
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Open reduction
 patient satisfaction
 perilunate dislocations
 perilunate injuries
K10plus-PPN:1837829330
Verknüpfungen:→ Zeitschrift

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