{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T14:24:07Z","timestamp":1793283847826,"version":"4.5.0"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Volar lunate dislocations typically result from high-energy trauma involving dorsiflexion and ulnar deviation forces, and are frequently accompanied by peri-lunate fractures. Without timely intervention, these injuries often progress to a chronic stage, conventionally defined as presentation beyond 6 weeks. Conventional single-stage surgical approaches often yield suboptimal outcomes for such complex, chronic presentations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report a 34-year-old male with persistent right wrist pain and restricted mobility for 11 months following a fall. Diagnostic imaging confirmed severe chronic volar lunate dislocation. A two-stage surgical protocol\u2014comprising preoperative progressive wrist distraction followed by open reduction, internal fixation, and ligament reconstruction\u2014successfully restored carpal alignment while preserving a functional range of motion. At one-year follow-up, the patient demonstrated excellent clinical recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case demonstrates that for severe chronic volar lunate dislocations of exceptionally long duration, a two-stage strategy incorporating progressive distraction and subsequent reconstruction is a viable and effective approach. It successfully addressed the challenges of extreme chronicity, achieving anatomical reduction and functional recovery where standard methods might fail.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1700107","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:36:17Z","timestamp":1767854177000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Two-stage surgical management for chronic volar lunate dislocation: a case 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