Limited intercarpal fusion as a salvage procedure for advanced Kienbock disease

Hand : Official Journal of the American Association for Hand Surgery
Matthew L IorioJerry I Huang

Abstract

With progressive lunate collapse, salvage procedures in advanced Kienbock disease attempt to provide pain relief and maintain motion. Scaphocapitate arthrodesis may provide a durable option with comparable outcomes to proximal row carpectomy in the well-selected patient. We performed a retrospective chart review of all consecutive patients with Lichtman stage IIIA or IIIB Kienbock's disease who underwent either scaphocapitate or scaphotrapeziotrapezoid-capitate arthrodesis from January 2004 to December 2013. Twelve patients were included with a mean age of 41.6 years. Ten patients underwent scaphocapitate arthrodesis, while two patients underwent scaphotrapezio-trapezoid-capitate arthrodesis with an average clinical follow-up of 13.1 months. All patients achieved fusion. The average postoperative flexion-extension arc was 53° (range 20-110°). The average ulnar deviation was 9° (range 5-15°), and the average radial deviation was 13° (range 5-25°). Postoperative pain scores were significantly improved, having changed from an average of 6.6 preoperatively to 2.8 on a 10-point scale (W = 18, P < 0.05). Despite a mean flexion-extension arc that is reduced from that of a normal individual, the postoperative range of motion following ...Continue Reading

References

Mar 1, 1992·The Journal of Hand Surgery·Y MinamikawaF S Sherwin
Mar 1, 1991·The Journal of Hand Surgery·S M PisanoF Sherwin
May 1, 1990·The Journal of Hand Surgery·J E ImbrigliaD McKernan
May 1, 1995·The Journal of Hand Surgery·G R Sennwald, H Ufenast
Jun 11, 1998·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·N IwasakiE Y Chao
Mar 8, 2006·Techniques in Hand & Upper Extremity Surgery·Melissa D Young Szalay, Clayton A Peimer
Feb 8, 2008·The Journal of Bone and Joint Surgery. British Volume·F SchuindP Ledoux
Mar 3, 2010·The Journal of Hand Surgery·Lee SquitieriKevin C Chung
May 5, 2010·The Journal of Hand Surgery·Lindsay Innes, Robert J Strauch
Mar 5, 2011·Orthopaedics & Traumatology, Surgery & Research : OTSR·F DelétangG Dautel
Aug 25, 2012·The Journal of Hand Surgery·Kevin Lutsky, Pedro K Beredjiklian
Mar 2, 2013·Hand : Official Journal of the American Association for Hand Surgery·Mir H AliSteven L Moran
Jul 5, 2013·The Journal of Hand Surgery, European Volume·M Luegmair, P Saffar
Nov 2, 2013·Journal of Wrist Surgery·Harvey Chim, Steven L Moran

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Citations

Feb 22, 2017·Journal of Orthopaedic Surgery·Güzelali ÖzdemirFerit Yücel
Dec 14, 2017·Archives of Orthopaedic and Trauma Surgery·Mei-Ming XieChen-Song Yuan
Nov 7, 2017·The Journal of Hand Surgery, European Volume·Amaury CharrePierre Mansat
Dec 7, 2018·Clinical Orthopaedics and Related Research·Colin Kennedy, Reid Abrams
Mar 21, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Dana Rioux-Forker, Alexander Y Shin
Jul 22, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Dana Rioux-Forker, Alexander Y Shin
Oct 13, 2020·Journal of Wrist Surgery·Nikhil GoyalSantosh Behera

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