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A Novel Surgical Technique for Neglected Volar Dislocation of the Lunate: Cases Report and Literature Review |
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| Authors: | Soo-Hwan Kang MD Hyun Woo Park MD Jin-Hyung Im MD Jong Woo Park MD Dohyung Lim PhD Yoon-Vin Kim MD Seunghun Ha MD Il-Jung Park MD |
| Affiliation: | 1. Department of Orthopaedic Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea;2. Department of Orthopaedic Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea;3. Department of Mechanical Engineering, Sejong University, Seoul, Republic of Korea;4. Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea |
| Abstract: | BackgroundTreatments for chronic perilunate or lunate dislocations are very difficult and associated with poor prognoses. There is no established treatment method and are still many controversies.Case PresentationWe reported three cases of chronic neglected lunate volar dislocation treated with a novel surgical technique. All three cases were males with wrist pain and tingling sensation. Radiographs confirmed chronic volar dislocation of the lunate. Open reduction was performed by combined volar and dorsal approaches. After anatomical reduction, scapholunate and lunotriquetral interosseous ligament reconstructions were performed with the palmaris longus tendon and synthetic tape. The patients had an uneventful postoperative period with satisfactory functional outcomes at the last follow-up.ConclusionsWe believe that open reduction and interosseous ligament reconstruction using the autogenous tendon and synthetic tape may be a valuable option for treating chronic volar dislocation of the lunate. |
| Keywords: | Chronic peri Interosseous ligaments reconstruction Lunate dislocation LUnate dislocation Open reduction |