Objective: Perilunate injuries are rare but highly overlooked injuries among hand injuries. These injuries, primarily seen in the young population after high-energy trauma, cause significant disability or loss of labor. We aimed to share the 2-year follow-up results of patients who were operated on for perilunate injury.

Methods: Twelve patients diagnosed with perilunate injuries were included in the study. Seven patients had trans-scaphoid, three patients had trans-scaphoid and trans-radial, and two patients had trans-scaphoid and transcapitate fractures. Five cases were operated on using the dorsal approach, three cases with the volar, and the remaining four cases using the combined approach.

Results: The patients were followed for an average of 25.7 (range, 17-34) months. At the end of the follow-up period, scaphoid avascular necrosis was observed in two patients and lunate avascular necrosis in one patient. Three patients were in stage 4 wrist osteoarthritis; two patients were in stage 3; six patients were in stage 2, and one patient was in stage 1. Four cases were evaluated as good, five cases were fair, and three were poor according to the modified Green and O’Brien clinical evaluation scale.

Conclusion: Perilunate injuries are rare and the most important step in making the suspected diagnosis. Early treatment prevents carpal arthrosis and loss of wrist motion. Care should be taken during diagnosis and treatment. Also, patients should be informed at every stage because perilunate injuries cause permanent morbidity in young patients.