Table 4.
Review of the studies on the combined volar–dorsal approach for perilunate dislocations and fracture–dislocations [1, 7, 12, 13, 17, 24]
| Author (year) | Follow-up | Perilunate dislocations, fracture–dislocations | Approach | Postoperative immobilization | Flexion–extension arc (deg) | Pronation–supination arc (deg) | DASH | Grip strength (kg) | Lunate AVN | Arthritis | Revised carpal height ratio |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Inoue and Imaeda (1996) | 24 months (11–90) | 28 patients with 29 fracture–dislocations | Palmar: 22 | A: 4 weeks (12) | A: 114 | Not reported | Not reported | A: 81 % | Not reported | Not reported | Not reported |
| Dorsal: 1 Combined: 6 | B: ≥5 weeks (16) | B: 96 | B: 80 % | ||||||||
| Sotereanos et al. (1997) | 30 months (12–69) | 11 | Combined | 8 weeks | 89 | Unrestricted | Not reported | 23 (77 %) | Not reported | 2 | 0.50 |
| Apergis et al. (1997) | 2 years (0.5–7) | 19 cases, 20 wrists | Dorsal: 10 | 6–8 weeks | |||||||
| Combined: 10 | |||||||||||
| Hildebrand et al. (2000) | 37 months (13–65) | Dislocation: 6 Fracture–dislocation: 17 | Combined | 10 weeks | 82 ± 40 | 150 ± 22 | 16 ± 13 | 35 ± 13 Normal: 48 ± 12 | 14 % | 50 % | 1.49 ± 0.12 |
| Komurcu et al. (2008) | 45 months (23–70) | 12 Fracture–dislocation: 6 acute (1st week) | Dorsal: 8 | 10 weeks | Early: 129.5 ± 20.42 | Not reported | Not reported | Early: 34 ± 12.8 | 0 | Early: 0 | Early: 1.51 |
| 6 delayed (1st to 5th week) | Combined: 4 | Delayed: 95.5 ± 18.08 | Delayed: 26.3 ± 13.5 | Delayed: 2 | Delayed: 1.45 | ||||||
| Normal: 43.8 ± 7.7 | |||||||||||
| Forli et al. (2010) | 13 years (10–23) | Dislocations: 11 | Dorsal: 11 | 5–13 weeks | 95 | Not reported | Not reported | 39 (87 %) | Not reported | 67 % | None |
| Fracture–dislocations: 7 | Volar: 3 | ||||||||||
| Combined: 4 |