A Review article on Recent Trends in Surgical Treatment of Intercarpal Fracture Dislocation of Wrist

Vol 4 | Issue 1 | Jan-Jun 2019 | page:23-26  | Abhijeet Wahegoankar,  Steve Rocha, Pranit Sonawane,  Anil Bhatia, Parag Sancheti,  Ashok Shyam

Authors: Abhijeet Wahegoankar [1],  Steve Rocha [1], Pranit Sonawane [1],  Anil Bhatia [1], Parag Sancheti [1],  Ashok Shyam [1]

[1] 1Department of orthopaedics, Sancheti Institute of
Orthopaedics and Rehabilitation, Pune, India
[2]Indian Orthopaedic Research Group, Thane,

Address of Correspondenc
Dr. Pranit Cangdeo Sonawane,
Sancheti Institute of Orthopaedics and Rehabilitation, Shivajinagar, Pune.
E-mail: drpranits@gmail.com


Background: Historically Closed reduction and immobilization is the gold standard treatment of perilunate injuries[13]. The current consensus is that non-operatively it is difficult to anatomically restore the carpus and maintain it[3,6]. Multiple studies have shown that the closed reduction and immobilization alone fail to maintain the complex intercarpal relationships[13,14]. Studies comparing perilunate injuries that treated conservatively with those treated operatively have shown better results in those treated operatively[3,5,10-12]. Association with loss of motion, traumatic arthritis, persistent pain and chronic carpal instability have been found with inadequate realignment of the carpals in a perilunate dislocation [4,15]. There is direct visualization of the injury which allows for restoration of the carpal anatomy in open reduction and internal fixation technique.[10] Purpose of this review is to study the recently published results of treatment of intercarpal fracture dislocation of wrist, which will help to formulate a preferred treatment modality in treating intercarpal fracture dislocation of wrist
Methods: Recent articles were searched on search engines such as PubMed, Google Scholar and additionally by checking references of different articles.
Summary: Recent studies published have shown significantly improved functional outcome in patient of intercarpal fracture dislocation of wrist treated surgically in the form of open reduction and internal fixation with reduced complications like arthritis and persistent pain and reduced range of motion which is associated with conservative treatment . early treatment is associated with better results then delayed treatment. Patents with delayed surgical intervention nevertheless have shown better results then patient treated conservatively
Keywords: Intercarpal fracture dislocation , functional outcome , perilunate dislocation , surgical outcome.


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How to Cite this Article: Wahegoankar A, Rocha S, Sonawane P, Bhatia A, Sancheti P, Shayam A. A Review article on Recent Trends in Surgical Treatment of Intercarpal Fracture Dislocation of  Wrist. Journal of Orthopaedic and Rehabilitation 2019 Jan-Jun; 4(1):23-26.

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