PMID: 3760487Sep 1, 1986Paper

Long-term results of Kienböck's disease treated by excisional arthroplasty with a silicone implant or coiled palmaris longus tendon

The Journal of Hand Surgery
H KatoA Minami

Abstract

Of 32 patients with Kienböck's disease, 19 had lunate silicone implant replacements, and 13 had coiled palmaris longus tendon replacement. The carpal height was measured and osteoarthritic changes were noted in plain x-ray films before and after the operation. Follow-up periods ranged from 3 to 11 years, with an average of 6 years 4 months. In patients in the mild stages of the preoperative carpal collapse, both excisional arthroplasties had good clinical results. The x-ray films showed that a silicone implant played a more important role in preventing further carpal collapse than a palmaris longus tendon replacement in patients in the early carpal collapse stage. However, the clinical results of the silicone implant replacement were unsatisfactory because of the postoperative progression of osteoarthritic changes or subluxation of the prosthesis in the advanced stages of carpal collapse. The palmaris longus tendon replacement gave satisfactory results in four of seven patients with advanced carpal collapse. These results suggest that silicone implant replacement is indicated primarily in patients with the early stages of carpal collapse, and replacement of the palmaris longus tendon is rarely recommended in either the early or...Continue Reading

References

Jan 1, 1985·The Journal of Hand Surgery·R J SmithJ B Jupiter
Mar 1, 1985·The Journal of Hand Surgery·H K WatsonA DiBella
Jul 1, 1982·The Journal of Hand Surgery·E E Almquist, J F Burns

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Citations

Feb 1, 1990·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G HasselgrenS Edshage
Dec 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·D V EgloffC Cantero
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Jan 1, 1991·The American Journal of Sports Medicine·R NakamuraT Miura
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Apr 6, 2005·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·A SakaiT Nakamura
Nov 13, 2003·Clinical Orthopaedics and Related Research·Norimasa IwasakiHiroyuki Kato
Nov 11, 2011·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Tomoya MatsuhashiAkio Minami
Feb 22, 2007·Clinical Orthopaedics and Related Research·E E J RavenR K Marti
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