{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T05:44:48Z","timestamp":1786167888095,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":218,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Perilunate dislocations (PLD) and perilunate fracture\u2010dislocations (PLFD) are uncommon but severe carpal injuries. Although open or arthroscopic\u2010assisted reduction with capsuloligamentous repair is recommended when feasible, access to suture anchors, appropriate nonabsorbable sutures, wrist arthroscopy, and advanced imaging may be inconsistent in resource\u2010limited trauma settings. In such circumstances, temporary K\u2010wire stabilization without formal ligament repair may represent a pragmatic stabilization strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 11 consecutive patients with acute PLD or PLFD treated between July 2019 and June 2024 in a single\u2010center retrospective therapeutic case series (Level IV evidence). All patients underwent attempted fluoroscopic closed reduction followed, when necessary, by open reduction. Stabilization consisted of scapholunate and lunotriquetral pinning using two 1.6\u2010mm\u2009K\u2010wires, without formal ligament repair; associated fractures were fixed with K\u2010wires as indicated. Outcomes included pain (VAS), QuickDASH, PRWE, Mayo Wrist Score (MWS), wrist range of motion, and grip strength. Radiographs assessed scapholunate distance (SLD) and scapholunate angle (SLA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean age was 36.9 years and 81.8% of patients were male. All injuries resulted from high\u2010energy trauma (nine road\u2010traffic accidents and two sports\u2010related injuries). Five patients had PLD and six had PLFD. Closed reduction was successful in three cases; eight required open reduction (six dorsal and two combined dorsal\u2010volar). Mean follow\u2010up was 50.5 months. Mean VAS was 3. Mean QuickDASH was 30.4, PRWE 37.5, and MWS 78.5. Mean flexion\u2010extension arc was 101.8\u00b0 and mean grip strength was 75.2% of the contralateral side. Mean SLD was 3.0\u2009mm and mean SLA was 61.8\u00b0. No pin\u2010tract infection, K\u2010wire migration, avascular necrosis, or radiographic osteoarthritis was observed at mid\u2010term follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this small Level IV case series, isolated K\u2010wire stabilization without formal ligament repair was associated with heterogeneous mid\u2010term outcomes after acute PLD and fracture\u2010dislocations. Partial functional recovery was observed in many patients, but residual scapholunate malalignment persisted in some cases. These findings are descriptive and hypothesis\u2010generating and should be interpreted cautiously in the absence of a comparative cohort. They should not be viewed as evidence of equivalence to ligament\u2010repair techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/cro\/4981870","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T05:39:57Z","timestamp":1786167597000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Pinning Without Ligament Repair for Perilunate Dislocations and Fracture\u2010Dislocations: A Case Series of 11 Patients"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8851-4473","authenticated-orcid":false,"given":"Tchaa Hodabalo","family":"Towoezim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6130-5938","authenticated-orcid":false,"given":"Akawoulou K. 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