{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:46:32Z","timestamp":1790657192727,"version":"4.1.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,1,28]],"date-time":"2023-01-28T00:00:00Z","timestamp":1674864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>We systematically reviewed the incidence of complications and outcomes of different surgical methods for acute perilunate injury in the MEDLINE, Scopus, Embase and Cochrane Library databases. Forty-three articles with 880 patients were included. The most common complications were arthritis (30%), carpal instability (15%), avascular necrosis of the lunate (12%), complex regional pain syndrome (11%), and nonunion or avascular necrosis of the scaphoid (9%). In the meta-analysis, the mean scapholunate gap was 1.7\u2009mm in the closed surgery group and 2.3\u2009mm in the open surgery group, which was a statistically significant difference. The mean flexion\u2013extension arc of the wrist and modified Mayo wrist score were better in the closed surgery group than in the open surgery group. However, these findings may relate to different cohorts in terms of injury severity. Therefore, the causal relationship between closed surgery and better outcomes may be uncertain as less severe subluxations are more likely to be treated closed.<\/jats:p>","DOI":"10.1177\/17531934221150331","type":"journal-article","created":{"date-parts":[[2023,1,28]],"date-time":"2023-01-28T03:30:21Z","timestamp":1674876621000},"page":"625-629","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Complications and outcomes of operative treatment for acute perilunate injuries: a systematic review"],"prefix":"10.1177","volume":"48","author":[{"given":"Chang-Hun","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seongdon, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bong Gun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seongdon, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joo-Hak","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Myoungji Hospital, Deogyang-gu, Goyang-si, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ha Seung","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ajou University School of Medicine, Yeongtong-gu, Suwon-si, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyeong-Jin","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ajou University School of Medicine, Yeongtong-gu, Suwon-si, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2164-6965","authenticated-orcid":false,"given":"Wan-Sun","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ajou University School of Medicine, Yeongtong-gu, Suwon-si, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,1,28]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198204000-00034"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.1997.11744746"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.01.019"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00020"},{"key":"e_1_3_3_6_1","first-page":"213","article-title":"Acute perilunate dislocations.","volume":"15","author":"Ferenz CC.","year":"1986","unstructured":"Ferenz CC. 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