Closed K-Wire Fixation for the Treatment of Peri-Lunate Dislocation – A Case Series

Abstract

Perilunate dislocations and trans-scaphoid perilunate fracture dislocations are serious wrist injuries with the potential for lasting dysfunction if not treated appropriately. This case series presents three male patients with perilunate injuries treated using closed Kirschner wire fixation techniques in 2024. Each case involved varying levels of complexity and timing of presentation. One patient presented three weeks post-injury with a high palmar dislocation and underwent volar open reduction with ligament repair and K-wire stabilization. Another patient arrived within hours of a traffic accident and received closed reduction and percutaneous pinning within 24 hours. The third case involved a combined radial styloid and scaphoid fracture with lunate dislocation, managed using a dual surgical approach with internal fixation and ligamentous repair. These cases highlight the importance of timely diagnosis, injury-specific surgical planning, and the utility of K-wire fixation as a stabilizing method. Early intervention and tailored surgical techniques contribute to favorable outcomes in managing complex wrist injuries.