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Treatment consisted of open reduction with or without internal fixation of the scaphoid in six patients, proximal row carpectomy in 16, total excision of the lunate in four, and carpal tunnel release and partial excision of the lunate in two. Open reduction yielded satisfactory results in cases of less than 2 months standing. We believe that proximal row carpectomy should be considered in the treatment of chronic perilunate dislocations in patients who are seen later than 2 months after injury, if the cartilage of the proximal pole of the capitate is well preserved. The results of lunate excision were less favourable.<\/jats:p>","DOI":"10.1054\/jhsb.1998.0003","type":"journal-article","created":{"date-parts":[[2002,9,19]],"date-time":"2002-09-19T11:33:28Z","timestamp":1032435208000},"page":"221-225","source":"Crossref","is-referenced-by-count":65,"title":["Late Treatment of Unreduced Perilunate Dislocations"],"prefix":"10.1177","volume":"24","author":[{"given":"G.","family":"INOUE","sequence":"first","affiliation":[{"name":"From the Department of Orthopaedic Surgery, Division of Hand Surgery, Nagoya University School of Medicine, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"SHIONOYA","sequence":"additional","affiliation":[{"name":"From the Department of Orthopaedic Surgery, Division of Hand Surgery, Nagoya University School of Medicine, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1999,4,1]]},"reference":[{"key":"b1-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196547050-00002"},{"key":"b2-10.1054_jhsb.1998.0003","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1097\/00003086-198701000-00020","volume":"214","author":"Cooney WP","year":"1987","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"b3-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.46B4.708"},{"key":"b4-10.1054_jhsb.1998.0003","first-page":"411","volume-title":"Fractures in adults","author":"Dobyns JH","year":"1984","edition":"2"},{"key":"b5-10.1054_jhsb.1998.0003","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1097\/00003086-198812000-00028","volume":"237","author":"Gellman HG","year":"1988","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"b6-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(78)80089-6"},{"key":"b7-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(93)90041-Z"},{"key":"b8-10.1054_jhsb.1998.0003","first-page":"112","volume":"202","author":"Howard FM","year":"1986","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"b9-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759040-00004"},{"key":"b10-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.1007\/BF00433985"},{"key":"b11-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(97)80366-X"},{"key":"b12-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.3109\/17453679008993560"},{"key":"b13-10.1054_jhsb.1998.0003","first-page":"265","volume":"79","author":"MacAusland WR","year":"1944","journal-title":"Surgery, Gynecology and Obstetrics"},{"key":"b14-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(83)80165-8"},{"key":"b15-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.31B4.524"},{"key":"b16-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(88)80049-2"},{"key":"b17-10.1054_jhsb.1998.0003","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/0363-5023(94)90237-2","volume":"19","author":"Tomaino MM","year":"1994","journal-title":"Journal of Hand Surgery"},{"key":"b18-10.1054_jhsb.1998.0003","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195638060-00002"}],"container-title":["Journal of Hand Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1054\/JHSB.1998.0003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1054\/JHSB.1998.0003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:42:44Z","timestamp":1777502564000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1054\/JHSB.1998.0003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,4]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1999,4]]}},"alternative-id":["10.1054\/JHSB.1998.0003"],"URL":"https:\/\/doi.org\/10.1054\/jhsb.1998.0003","relation":{},"ISSN":["0266-7681"],"issn-type":[{"value":"0266-7681","type":"print"}],"subject":[],"published":{"date-parts":[[1999,4]]}}}