Original article

Uniclip and K-wires for Trans-scaphoid Perilunate Fracture with Dislocation

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  • Department of Plastic Surgery; Shang First People’s Hospital; Shanghai Jiaotong University School of Medicine; Shanghai 200080; China.

Online published: 2020-07-23

Abstract

Objective To evaluate the role of uniclip and K-wires in the management of trans-scaphoid perilunate fracture with dislocation.Methods From February 2006 to September 2008,a retrospective study was done in 11 patients of trans-scaphoid perilunate fracture with dislocation.All patients were treated with uniclip and K-wires,aging 18 to 39 years.Scaphoid was fixed by an uniclip with pressure after dislocation were reduced;and a k-wire was placed from the capitate into the lunate to maintain reduction.Articular capsule and ligament were also repaired during the operation.Wrist joint began to activate at 8 weeks postoperatively following the k-wire was took away.The X-ray films showed that the scaphoid bony began to fuse and the uniclip was removed.All the 11 patients were followed up for 6-24 months.Results Curative effects were assessed by Wrist examination including wrist range of motion,grip strength,pain,X-ray views or computer tomography.The scaphoid fracture healed in all cases 4-10 months after operation.The range of movement of the wrist and grip strength was good.Conclusion Open reduction and internal fixation with uniclip and K-wires obtained satisfactory results in terms of anatomical restoration,the repair of articular capsule and ligament.It has superiority over other methods with more stability,direct viewing and less complications.

Cite this article

SHEN Hua, CAI Yanxian, WANG Yongchun, ZHANG Zhaofeng, SHEN Zunli . Uniclip and K-wires for Trans-scaphoid Perilunate Fracture with Dislocation[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2010 , 6(1) : 35 -37 . DOI: 10.3969/j.issn.1673-0364.2010.01.011

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