The objective of the study was to evaluate the clinical and radiological outcomes in patients of peri-lunate dislocations who were treated surgically through a modified technique which involved total anatomical reconstruction of the wrist.
It was a retrospective observational study which was performed between January2016 to January 2022. We reviewed our prospectively collected database and identified eight patients who matched the study criteria. The data was reviewed for radiological and functional outcome measures.
Eight patients underwent total anatomic reconstruction of wrist for peri-lunate dislocations during the study period. The median pain score in Mayo wrist score assessment was 20, which corresponds to “mild occasional pain”. Two out of eight patients reported a total absence of any pain. On the Visual analogue scale for pain, the median score was 1.37. The median score for Function was 25, which corresponds to “returned to regular employment”. Seven out of eight patients returned to their regular pre-injury employment without any modifications in their work profile. The median motion score was 15, corresponding to “75-99% or 90-120° motion” at the wrist. The median score for grip strength was 25, corresponding to a “100%” grip strength. On evaluating the total Mayo wrist scores, 7 of 8 patients had good to excellent outcomes while one patient had a satisfactory outcome. The quick DASH scores ranged between 2.3 to 9.1, with a mean score of 4.5 ± 2.4.
Surgical management of peri-lunate dislocations using our modified surgical technique leads to a near anatomic restoration of wrist and satisfactory functional outcomes.
