Perilunate Management

Perilunate injuries are those that affect the wrist, which can be debilitating to patients. Often, these injuries require surgical treatment, which can either be performed open or arthroscopically. There is currently no consensus on which approach offers better outcomes. Therefore, this study will allocate patients who require surgical treatment of perilunate injuries to either open or arthroscopic surgical intervention to compare their outcomes. The results will offer insight into the compromises made with each surgical approach and create a foundation that orthopedic surgeons can leverage to decide how to manage a patient to ensure the best possible outcomes. This study will involve 12 patients who were identified as having perilunate injuries requiring orthopedic surgical treatment. Their participation will involve consenting to be randomly allocated to the surgical approach, and they will be asked to complete commonly used orthopedic surveys (e.g., DASH score) that are used to evaluate the functional healing of their injury. They will be followed up for up to 1 year after their surgery. A chart review will be conducted to follow their progress and surgical outcomes. Patients will be recruited from Grady Memorial Hospital. No specimens will be collected or banked for this study.