Arthroscopic Assisted Reduction and Percutaneous Fixation of Acute Perilunate Injuries

Managing acute perilunate injuries (APLI) presents significant challenges due to the complex anatomy and technical intricacies involved. Despite open reduction and fixation being the gold standard treatment, the long-term prognosis remains guarded. Wide surgical exposures with extensive soft tissue releases may contribute to poorer functional outcomes, particularly with respect to range of motion. This surgical technique describes an approach employing arthroscopic-assisted reduction and fixation, suitable for both acute perilunate dislocation and fracture-dislocation injuries using minimally invasive methods.