Triquetrum pinning

Perilunate fracture-dislocation

Wires

Open reduction of a perilunate fracture-luxation and internal fixation by pinning the lunate to the triquetrum.

Scaphoid pinning

Perilunate fracture-dislocation

Wires

Further stabilization is provided by pinning the lunate to the scaphoid and the scaphoid to the capitate.

Radial styloid pinning

Radial styloid fracture

Wires

Radial styloid pinning.

Osseous anchor

Scapho-lunar ligament repair with an anchor in the lunate.

Avulsion fracture of the ulnar styloid

Round hyperdensity

Ulnar styloid fracture not addressed by the surgery.

Gilula lines

Gilula lines are now intact.

Staples

Metallic staples at the surgical incision.

Alignment

Correct alignment of the capitate with the hamate and the radius in line.