Arthroscopic Assisted Reduction and Percutaneous Fixation of Acute Perilunate Injuries

Managing acute perilunate injuries (APLI) presents significant challenges due to the complex anatomy and technical intricacies involved. Despite open reduction and fixation being the gold standard treatment, the long-term prognosis remains guarded. Wide surgical exposures with extensive soft tissue...

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Main Authors: Rafi Husain, M.B., Ch.B., F.R.C.S.C., Jonathan Persitz, M.D., Andrea H.W. Chan, M.D., F.R.C.S.C., Ryan Paul, M.D., M.Sc., F.R.C.S.C.
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724005103
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author Rafi Husain, M.B., Ch.B., F.R.C.S.C.
Jonathan Persitz, M.D.
Andrea H.W. Chan, M.D., F.R.C.S.C.
Ryan Paul, M.D., M.Sc., F.R.C.S.C.
author_facet Rafi Husain, M.B., Ch.B., F.R.C.S.C.
Jonathan Persitz, M.D.
Andrea H.W. Chan, M.D., F.R.C.S.C.
Ryan Paul, M.D., M.Sc., F.R.C.S.C.
author_sort Rafi Husain, M.B., Ch.B., F.R.C.S.C.
collection DOAJ
description Managing acute perilunate injuries (APLI) presents significant challenges due to the complex anatomy and technical intricacies involved. Despite open reduction and fixation being the gold standard treatment, the long-term prognosis remains guarded. Wide surgical exposures with extensive soft tissue releases may contribute to poorer functional outcomes, particularly with respect to range of motion. This surgical technique describes an approach employing arthroscopic-assisted reduction and fixation, suitable for both acute perilunate dislocation and fracture-dislocation injuries using minimally invasive methods.
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publishDate 2025-04-01
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series Arthroscopy Techniques
spelling doaj-art-065531e3e33a45ed8540c2b6d3c5fa922025-08-20T03:14:06ZengElsevierArthroscopy Techniques2212-62872025-04-0114410335010.1016/j.eats.2024.103350Arthroscopic Assisted Reduction and Percutaneous Fixation of Acute Perilunate InjuriesRafi Husain, M.B., Ch.B., F.R.C.S.C.0Jonathan Persitz, M.D.1Andrea H.W. Chan, M.D., F.R.C.S.C.2Ryan Paul, M.D., M.Sc., F.R.C.S.C.3Hand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, University Health Network, Toronto Western Hospital, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaHand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, University Health Network, Toronto Western Hospital, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaHand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, University Health Network, Toronto Western Hospital, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaAddress correspondence to Ryan Paul, M.D., M.Sc., F.R.C.S.C., Toronto Western Hospital, Hand Program, Toronto, Ontario, Canada.; Hand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, University Health Network, Toronto Western Hospital, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaManaging acute perilunate injuries (APLI) presents significant challenges due to the complex anatomy and technical intricacies involved. Despite open reduction and fixation being the gold standard treatment, the long-term prognosis remains guarded. Wide surgical exposures with extensive soft tissue releases may contribute to poorer functional outcomes, particularly with respect to range of motion. This surgical technique describes an approach employing arthroscopic-assisted reduction and fixation, suitable for both acute perilunate dislocation and fracture-dislocation injuries using minimally invasive methods.http://www.sciencedirect.com/science/article/pii/S2212628724005103
spellingShingle Rafi Husain, M.B., Ch.B., F.R.C.S.C.
Jonathan Persitz, M.D.
Andrea H.W. Chan, M.D., F.R.C.S.C.
Ryan Paul, M.D., M.Sc., F.R.C.S.C.
Arthroscopic Assisted Reduction and Percutaneous Fixation of Acute Perilunate Injuries
Arthroscopy Techniques
title Arthroscopic Assisted Reduction and Percutaneous Fixation of Acute Perilunate Injuries
title_full Arthroscopic Assisted Reduction and Percutaneous Fixation of Acute Perilunate Injuries
title_fullStr Arthroscopic Assisted Reduction and Percutaneous Fixation of Acute Perilunate Injuries
title_full_unstemmed Arthroscopic Assisted Reduction and Percutaneous Fixation of Acute Perilunate Injuries
title_short Arthroscopic Assisted Reduction and Percutaneous Fixation of Acute Perilunate Injuries
title_sort arthroscopic assisted reduction and percutaneous fixation of acute perilunate injuries
url http://www.sciencedirect.com/science/article/pii/S2212628724005103
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