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

1986 ◽  
Vol 11 (5) ◽  
pp. 645-653 ◽  
Author(s):  
Hiroyuki Kato ◽  
Masamichi Usui ◽  
Akio Minami
Keyword(s):  
Silicone Implant ◽  
Long Term Results ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon ◽  
Kienbock’S Disease

Long-term outcome (22–36 years) of silicone lunate arthroplasty for Kienböck’s disease

2013 ◽  
Vol 39 (4) ◽  
pp. 405-415 ◽  
Author(s):  
T. Viljakka ◽  
K. Tallroth ◽  
M. Vastamäki
Keyword(s):  
Range Of Motion ◽  
Functional Results ◽  
Cyst Formation ◽  
Long Term Results ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Kienbock’S Disease

Silicone lunate arthroplasty for Kienböck’s disease was abandoned several years ago due to severe silicone cyst formation. We identified 53 patients and retrospectively evaluated short-term radiological and clinical results, as well as long-term radiological outcome, pain relief, range of motion, strength, and functional results, a mean 27 years after surgery. The incidence of silicone cysts was 78%. Twelve implants were removed — three due to implant dislocation and nine due to silicone synovitis — and six wrist joints were fused. Pain on the visual analogue scale averaged 2.2 at rest and 5.4 during heavy exertion. Range of motion of those wrists not fused reached 65% of that of the contralateral wrist, and strength of all wrists reached 72%. Those few patients who developed no silicone cysts by 10 years post-operatively will not form cysts and will retain their satisfactory clinical, functional, and radiological result. These very long-term results confirm that silicone lunate arthroplasty should not be used for Kienböck’s disease.

Ulnar Lengthening and Radial Recession Procedures for Kienböck’s Disease

1996 ◽  
Vol 21 (2) ◽  
pp. 169-171 ◽  
Author(s):  
I. A. TRAIL ◽  
R. L. LINSCHEID ◽  
D. E. QUENZER ◽  
P. A. SCHERER
Keyword(s):  
Long Term Results ◽  
Radiological Evaluation ◽  
New Bone Formation ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Number Of Patients ◽  
Ulnar Lengthening ◽  
Lunate Fossa ◽  
Kienbock’S Disease

Twenty patients with Kienböck’s disease who had undergone a joint levelling procedure, were reviewed at a mean of 11 years following surgery. Clinical and radiological evaluation revealed good long-term results with all patients complaining of less pain than before surgery and with statistically significant increases in range of motion and grip strength. Radiologically a significant number of patients were found still to have lunate fractures and fragmentation. In addition, 13 patients have developed new bone formation in the lunate fossa, and 12 show osteoarthritic changes, particularly at the radioscaphoid interface. Radial shortening was felt to be superior to ulnar lengthening in that there were fewer problems with bone union.

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