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Case Reports
. 2018 Oct;21(5):304-307.
doi: 10.1016/j.cjtee.2018.07.002. Epub 2018 Sep 27.

Percutaneous elevation of depressed lunate fossa: A surgical technique

Atin Jaiswal  1 , Yashwant Singh Tanwar  2
Affiliations
Case Reports

Percutaneous elevation of depressed lunate fossa: A surgical technique

Atin Jaiswal et al. Chin J Traumatol. 2018 Oct.

Erratum in

Abstract

Die-punch fractures or impaction fractures of distal radius articular surface are difficult to treat and hard to achieve satisfactory reduction. We present a unique, percutaneous and minimally invasive technique to elevate the depressed lunate fossa and maintain the reduction of the elevated fragment with no need of grafting in such fractures. This technique is simple, reproducible and can be executed with simple instrumentations. We think it deserves a variety of implications in the treatment of distal radius fractures.

Keywords: Depressed lunate fossa; New surgical technique; Percutaneous elevation.

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Figures

Fig. 1
Fig. 1
Surgical technique showing sequential elevation of depressed fragment.
Fig. 2
Fig. 2
Another case showing sequential elevation.
Fig. 3
Fig. 3
Fluoroscopic views showing sequential elevation of the articular surface (Case of Fig. 1).
Fig. 4
Fig. 4
Lunate fossa die-punch distal radius fracture on a 30 years old male patient. A: Preoperative radiographs; B: Traction radiographs showing die-punch fracture; C: Postoperative radiographs; D: Three years follow-up radiograph of wrist showing maintenance of reduction.
Fig. 5
Fig. 5
Clinical photographs showing acceptable outcome.
See this image and copyright information in PMC

References

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