{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T20:24:01Z","timestamp":1790713441989,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,10,1]],"date-time":"2016-10-01T00:00:00Z","timestamp":1475280000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,10,1]],"date-time":"2016-10-01T00:00:00Z","timestamp":1475280000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2016,10,1]],"date-time":"2016-10-01T00:00:00Z","timestamp":1475280000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare union rates and clinical and radiological outcomes of arthroscopic\u2010assisted reduction and fixation with those of open reduction and fixation in patients with trans\u2010scaphoid perilunate fracture dislocations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included consecutive patients with trans\u2010scaphoid PLFDs who underwent arthroscopic\u2010assisted reduction and fixation (group A) or open reduction and fixation (group O), and who were followed up for a minimum of 2\u00a0years between May 2005 and March 2013. We excluded initially missed patients. Each different surgeon who was on call had performed each experienced operation. These clinical outcomes were assessed: range of motion, grip strength, Mayo wrist score, and Disabilities of Arm, Shoulder, and Hand (DASH) score. For radiologic outcomes, the scapholunate angle, radiolunate angle, and lunotriquetral distance were measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The total number of included patient was 20 (11 in group A and 9 in group O). Scaphoid union occurred in all patients except 1 individual (11 of 11 in group A, and 8 of 9 in group O). At the last follow\u2010up, the mean flexion\u2010extension arc was significantly greater in group A (125.0\u00b0) than in group O (105.6\u00b0) (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .028). The mean grip strength was 81.1% that of the contralateral side in group A and 80.9% in group O (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .594). The mean Mayo wrist score was 85.5 in group A and 79.4 in group O (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .026), and the mean DASH score was 10.6 in group A and 20.8 in group O (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001); however, only the DASH score showed a minimum clinically important difference. The mean scapholunate angle, radiolunate angle, and lunotriquetral distance were similar between the 2 groups: 47.2\u00b0, 1.7\u00b0, and 2.0\u00a0mm in group A and 48.8\u00b0, 5.6\u00b0, and 2.1\u00a0mm in group O, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although both arthroscopic and open techniques achieved stability of the injured wrists in patients with trans\u2010scaphoid PLFDs, it is shown that the arthroscopic\u2010assisted technique showed a clinically meaningful better DASH score and greater flexion\u2010extension arc with other parameters being similar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  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