{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:15:13Z","timestamp":1787019313737,"version":"build-2736575974"},"reference-count":32,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T00:00:00Z","timestamp":1744416000000},"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":[[2025,11]]},"abstract":"<jats:p>\n                    This retrospective case\u2013control study compares arthroscopic surgery (AS) with open reduction and internal fixation (ORIF) in early and late follow-up outcomes for perilunate injuries. Of 74 patients treated between 2012 and 2023, 28 were matched into two groups: 14 AS and 14 ORIF. Baseline characteristics were similar. Arthroscopic surgery had a significantly shorter operative time (mean difference (MD) 71\u2009min, 95% confidence interval (CI) 10 to 132\u2009min,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.021). At early follow-up (mean 4.1, SD 1.3 months), AS patients had significantly higher Mayo Wrist Scores (MWS) with better pain relief, return to work and grip strength (MWS MD 24 points, 95% CI 12.4, 35.6 points,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001). The subscales levelled off at late follow-up (mean 14.7, SD 4.8 months). There were no significant differences in complications, revision incidence or intercarpal angles at final follow-up. When feasible, AS is a promising, time-efficient alternative to dorsopalmar double approach ORIF for the treatment of perilunate injuries, particularly in terms of early postoperative clinical outcomes.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    III\n                  <\/jats:p>","DOI":"10.1177\/17531934251333588","type":"journal-article","created":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T07:06:51Z","timestamp":1744441611000},"page":"1299-1308","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Arthroscopic versus open surgery in perilunate injuries: a retrospective case\u2013control 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