Perilunate injuries affect the wrist, causing severe pain and weakness. These injuries can harm the nerves, leading to long-lasting pain and difficulty in moving the wrist. Internal fixation, a way to hold bones in place with screws and rods, usually requires surgery for such injuries. This study aims to compare two types of wrist surgeries: open surgery, which involves a large cut, and arthroscopic surgery, which uses small cuts and a camera. It's unclear which method is better, so this research will help doctors decide in the future. Participants will undergo surgery and be observed for a year to see how they heal. Doctors will use surveys like the DASH score to measure how well their wrists work after surgery. The study includes 12 adult patients from Grady Memorial Hospital who need wrist surgery.

• Study lasts up to 1 year with follow-up visits.
• Participants undergo either open or arthroscopic wrist surgery.
• No specimens will be collected or saved.