Long-term results after resection arthroplasty in Kienböck’s disease

Zeplin, Philip H.; Ziegler, Ulrich E.

doi:10.1177/1753193412447494

Cited by 7 publications

(11 citation statements)

References 3 publications

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“…In late-stage Kienböck's disease, the excision of lunate and replacement with silicone or tendon ball was described previously in the literature as a treatment option. [16][17][18][19][20][21][22][23][24][25] Silicone replacement caused foreign body reaction with severe reactive synovitis and carpal instability which led to unsatisfactory results. 20,28,29 In some series using tendon ball arthroplasty for treatment of Kienböck's disease, the authors reported that they used an additional tendon and free vascularized bone graft to substitute the cavity of the excised lunate.…”

Section: Discussionmentioning

confidence: 99%

“…2,19 Tendon ball interposition arthroplasty for treatment of late-stage (stages III and IV) Kienböck's disease has been reported in literature with good results. 16,17,[20][21][22][23][24][25] In all of these articles, palmaris longus or pronator quadratus tendon was used. [20][21][22][23][24][25] In 2013, Karalezli et al reported a biomechanical cadaveric study using extensor carpi radialis longus (ECRL) tendon for interposition arthroplasty for treatment of Kienböck's disease.…”

Section: Introductionmentioning

confidence: 99%

“…16,17,[20][21][22][23][24][25] In all of these articles, palmaris longus or pronator quadratus tendon was used. [20][21][22][23][24][25] In 2013, Karalezli et al reported a biomechanical cadaveric study using extensor carpi radialis longus (ECRL) tendon for interposition arthroplasty for treatment of Kienböck's disease. 26 The purpose of our retrospective study was to assess radiological and clinical results following ECRL tendon ball interposition arthroplasty in late-stage Kienböck's disease.…”

Section: Introductionmentioning

confidence: 99%

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Extensor carpi radialis longus tendon ball interposition arthroplasty for treatment of late-stage Kienböck’s disease: Short-term results of a novel technique

Aslantürk

Ertem

Ergen

et al. 2018

J Orthop Surg (Hong Kong)

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The aim of this study was to evaluate short-term clinical and radiological results of extensor carpi radialis longus (ECRL) tendon ball arthroplasty for treatment of late-stage Kienbö ck's disease. Methods: We retrospectively reviewed data of 19 patients suffering from Kienbö ck's treated with ECRL tendon ball arthroplasty between December 2014 and December 2016. Patients' clinical functions were assessed using grip strength, range of motion (ROM) of the wrist, QuickDASH, Mayo wrist score, and visual analog scale score. Radiological examination was performed to assess carpal height ratio and progression of arthritis. Results: The median follow-up was 30 months (range, 12-36 months). At final follow-up, ROM of operated wrist was 71% of the nonoperated side. Thirteen (86.6%) patients were pain free. Carpal height ratio was statistically significantly reduced compared with preoperative values. All patients declared their satisfaction with the results due to their preoperative status. Conclusions: ECRL tendon ball arthroplasty is a new and good option for treatment of late-stage Kienbö ck's disease with low complication rate.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Extensor carpi radialis longus tendon ball interposition arthroplasty for treatment of late-stage Kienböck’s disease: Short-term results of a novel technique

Aslantürk

Ertem

Ergen

et al. 2018

J Orthop Surg (Hong Kong)

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“…Later, long-term surveys demonstrated, however, a marked tendency to develop severe synovitis and cyst formation caused by silicone particles destroying the joint (Kaarela et al, 1998; Kato et al, 1986; Schuind et al, 2008; Viljakka et al, 1987; Viljakka et al, 1995), and SLA was abandoned several years ago. Today, other methods of operative treatment have been adopted (Allan et al, 2001; Backaert et al, 1985; Mariconda et al, 2013; Ueba et al, 1999; Werber et al, 2013; Yajima et al, 2004; Zeplin and Ziegler, 2013). We found 20 years ago that in certain circumstances, silicone cyst formation had not developed even 20 years after SLA (Viljakka et al, 1995).…”

Section: Discussionmentioning

confidence: 99%

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

Viljakka

Tallroth

Vastamäki

2013

J Hand Surg Eur Vol

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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.

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“…따라서 수근골의 높이(Carpal height)를 유지하기 위해 일시적인 주상 유두골 고정술, 삼중 주상골 고정술, 혹은 외고정기를 이용하기도 한다 [9][10][11] . 건 충진술은 장수장건 내에 골핵(bone core)을 삽입하는 방 법, 장수장건만으로 부족 시 족저건을 첨가하는 방법 등을 비 롯해 여러 방법이 제시 되어 왔으며 [11][12][13][14][15][16]…”

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Lunate Excision and Tendon Ball Implantation in Lichtman Stage IIIB Kienböck's Disease in Middle-Aged Patients

Cheon

Lee

Park

et al. 2015

J Korean Soc Surg Hand

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Purpose: Our purpose was to assess the results of lunate excision and tendon ball implantation with temporary scaphocapitate fixation for Lichtman stage IIIB Kienböck's disease in middle-aged patients. Methods: Ten patients with Lichtman stage IIIB Kienböck's disease who underwent lunate excision and tendon ball implantation and followed up at least 24 months were analyzed. There were 4 males and 6 females. The mean age at the time of surgery was 55.4 years (range, 48-67 years), and follow-up period ranged from 24 to 68 months (mean, 46 months). Radiocarpal joint pain, grip strength, return to daily living activity, range of motion were evaluated and radiologic findings of preoperative, postoperative and last follow-up were evaluated. Results: All patients returned to daily living activity after 6 months of surgery. At the last follow up, 8 patients had no pain and 2 patients experienced mild pain occasionally. The mean improvement of extension arc was 14.5°, and the mean flexion arc improved 8.5°. The mean grip strength was 88% of unaffected side. The mean carpal height ratio was 0.49 preoperatively, 0.47 at final followup. No patients showed osteoarthritis change at the last follow-up. The mean Cooney's wrist function were 83, 4 patients had excellent, 4 had good, and 2 had fair. Conclusion: Lunate excision and tendon ball implantation with temporary scaphocapitate fixation for Lichtman stage IIIB Kienböck's disease in middleaged patients showed satisfactory clinical, functional and radiological results.So this can be a reasonable treatment option.

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Long-term results after resection arthroplasty in Kienböck’s disease

Abstract: lunate and subsequent replacement with a tendon-ball implant.

Cited by 7 publications

References 3 publications

Extensor carpi radialis longus tendon ball interposition arthroplasty for treatment of late-stage Kienböck’s disease: Short-term results of a novel technique

Extensor carpi radialis longus tendon ball interposition arthroplasty for treatment of late-stage Kienböck’s disease: Short-term results of a novel technique

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

Lunate Excision and Tendon Ball Implantation in Lichtman Stage IIIB Kienböck's Disease in Middle-Aged Patients

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