%0 Journal Article %T Staged reduction of neglected transscaphoid perilunate fracture dislocation: A report of 16 cases %A Bhavuk Garg %A Tarun Goyal %A Prakash P Kotwal %J Journal of Orthopaedic Surgery and Research %D 2012 %I BioMed Central %R 10.1186/1749-799x-7-19 %X 16 cases (14 males & 2 females) with neglected transscaphoid perilunate fracture dislocation (> 3£¿month old) were treated with staged reduction. Mean duration between injury and surgery was 4.5£¿months. In first stage an external fixator was applied across the wrist and distraction was done at 1£¿mm/day. Second surgery was done through dorsal approach and we were able to reduce all the fractures & dislocations. Herbert screws and K wires were used for fixation.The mean duration between two surgeries was 2.4£¿weeks (range 2¨C4£¿weeks). 9 cases had excellent results, 5 had good result. Two patients developed reflex sympathetic dystrophy and had fair results.Staged reduction should be considered for neglected transscaphoid perilunate dislocations. If properly executed, a good functional pain free range of motion is the usual outcome. %U http://www.josr-online.com/content/7/1/19/abstract