Toft P, Bertheussen K, Otkjaer S
J Hand Surg Br. 1985 Oct;10(3):382-4. doi: 10.1016/s0266-7681(85)80068-1.
A case translunate, transmetacarpal, scapho-radial fracture with perilunate dislocation occurred as a young man drove his motorcycle into the side of a car. Closed reduction was performed initially. Open reduction was performed with a screw in the lunate. Eighteen months later the screw was removed and after two and a half years x-rays revealed no signs of avascular necrosis or arthrosis. The patient fully recovered. This case stresses the necessity of open reduction in cases of complicated carpal fracture dislocations.
一名年轻男子骑摩托车撞上汽车侧面后,发生了一例经月骨、经掌骨、舟骨-桡骨骨折伴月骨周围脱位。最初进行了闭合复位。对月骨用螺钉进行了切开复位。18个月后取出螺钉,两年半后X线检查未显示缺血性坏死或关节病迹象。患者完全康复。该病例强调了复杂腕骨骨折脱位病例切开复位的必要性。