Treatment of Kienböck's disease with scaphotrapezio-trapezoid arthrodesis

The long-term results of 28 cases of Kienböck's disease treated with scaphotrapezio-trapezoid arthrodesis between 1980 and 1990 are presented. The average follow-up period was 51 months. Of these wrists, nine required late lunate excision for pain and limited motion; however, only three patient...

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Bibliographic Details
Published inThe Journal of hand surgery (American ed.) Vol. 21; no. 1; p. 9
Main Authors Watson, H K, Monacelli, D M, Milford, R S, Ashmead D, I V
Format Journal Article
LanguageEnglish
Published United States 01.01.1996
Subjects
Adolescent
Adult
Arthrodesis
Humans
Middle Aged
Osteochondritis - diagnostic imaging
Osteochondritis - physiopathology
Osteochondritis - surgery
Radiography
Range of Motion, Articular
Retrospective Studies
Treatment Outcome
Wrist Joint - diagnostic imaging
Wrist Joint - physiopathology
Wrist Joint - surgery
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Summary:The long-term results of 28 cases of Kienböck's disease treated with scaphotrapezio-trapezoid arthrodesis between 1980 and 1990 are presented. The average follow-up period was 51 months. Of these wrists, nine required late lunate excision for pain and limited motion; however, only three patients in the entire series required further wrist salvage procedures (wrist arthrodesis, proximal row carpectomy). At late follow-up examination, range of motion averaged 48 degrees in extension, 52 degrees in flexion, 11 degrees in radial deviation, and 27 degrees in ulnar deviation. Using a subjective pain relief rating scale, patients reported excellent results in 12 cases, good results in 9, fair results in 4, and poor results in 2 (1 case was omitted because of a coexisting different disease).
ISSN:0363-5023
DOI:10.1016/S0363-5023(96)80148-1