Long-Term Subjective and Radiological Outcome After Reconstruction of Kienböck's Disease Stage 3 Treated by a Free Vascularized Iliac Bone Graft

2008 ◽  
Vol 33 (7) ◽  
pp. 1247 ◽  
Author(s):  
Ahmadreza Afshar
Keyword(s):  
Bone Graft ◽  
Iliac Bone ◽  
Disease Stage ◽  
Radiological Outcome ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Iliac Bone Graft ◽  
Kienbock’S Disease

Stage 3 KienbÖck’s Disease: Reconstruction of the Fractured Lunate using a Free Vascularized Iliac Bone Graft and External Fixation

2002 ◽  
Vol 27 (4) ◽  
pp. 369-373 ◽  
Author(s):  
M. GABL ◽  
M. LUTZ ◽  
Cl. REINHART ◽  
R. ZIMMERMANN ◽  
S. PECHLANER ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Necrotic Core ◽  
Iliac Bone ◽  
The Other ◽  
Carpal Collapse ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Iliac Bone Graft ◽  
Kienbock’S Disease

Eighteen patients with stage 3 Kienböck’s disease were treated by débridement of the necrotic core of the lunate and implantation of a free vascularized corticocancellous iliac bone. The wrist was stabilized with an external fixator during healing. The efficiency of the procedure for restoring the structure of the fractured lunate, preventing carpal collapse and improving the clinical outcome was assessed at a mean follow-up of 5 years. The graft became incorporated in the lunate in 16 of the 18 patients and no fracture of the reconstructed lunate or carpal collapse occurred in these cases. The graft did not integrate and was resorbed in the other two patients.

Pronator Quadratus Pedicled Bone Graft for the Kienbock's disease: Three cases report

1995 ◽  
Vol 30 (5) ◽  
pp. 1458
Author(s):  
Duke Whan Chung ◽  
Jung Soo Han ◽  
Chun Woo Lee ◽  
Jae Chul Ok ◽  
Chang Hee Baek
Keyword(s):  
Bone Graft ◽  
Pronator Quadratus ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease

Scaphotrapeziotrapezoid (STT)-Arthrodesis in Kienböck’s Disease

2004 ◽  
Vol 29 (6) ◽  
pp. 580-584 ◽  
Author(s):  
R. MEIER ◽  
M. VAN GRIENSVEN ◽  
H. KRIMMER
Keyword(s):  
Functional Result ◽  
Contralateral Side ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Long Term Effect ◽  
Advanced Stages ◽  
The Mean ◽  
Kienbock’S Disease

This study reviews the results of 59 of 84 patients with severe Kienböck’s disease who were treated with STT fusion. The average follow-up period was 4 (ranges: 2–8) years. The average arc of wrist extension and flexion was 67° (60% of the contralateral side, 81% of pre-operative range) and that of ulnar and radial deviation was 31° (52% of the contralateral side, 56% of pre-operative range). Pre-operative pain values (VAS) were 56 (non-stress) and 87 (stress) and were significantly higher than the postoperative values of 12 (non-stress) and 41 (stress). Grip strength improved from 45 kPa pre-operatively to 52 kPa postoperatively. The mean modified Mayo wrist score was 63 points. The patients reported low disability in the DASH scores, with an average of 28 points. Our data show that STT fusion is a reliable and effective treatment for pain relief and offers a good functional result in advanced stages of Kienböck’s disease. However the long-term effect of this procedure on radioscaphoid and other intercarpal joints is yet to be determined.

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