Management of type 3 Kienbock's disease in manual workers by scaphocapitate fusion with minimum 7-year follow-up

Meena, Amit; Shaina, Sandeep; Saikia, Sumon Singphow; A, Akshya Raj; Verma, Nilesh; Attri, Manish

doi:10.1016/j.jcot.2022.101854

Cited by 4 publications

(13 citation statements)

References 27 publications

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“…Eight studies evaluated postoperative radial deviation. 11 , 13 , 14 , 20 , 22 , 23 , 24 , 25 Overall, there was a significant reduction in radial deviation after surgery ( Fig. 3 ; WMD, −2.3; 95% CI, −4.3 to 0.3; P v =.03) with significant heterogeneity (I 2 = 73%; P =.00).…”

Section: Resultsmentioning

confidence: 92%

“…Eight studies compared the preoperative and postoperative ulnar deviation. 11 , 13 , 14 , 20 , 22 , 23 , 24 , 25 Overall, there was no significant difference in ulnar deviation after the surgery ( Fig. 3 ; WMD, −1.6; 95% CI, −4.93 to 1.66; P value = NS), but heterogeneity was significant (I 2 = 77%; P =.00).…”

Section: Resultsmentioning

confidence: 93%

“…Six studies evaluated the postoperative VAS score. 11 , 15 , 19 , 20 , 21 , 22 Overall, there was a significant decrease in the postoperative VAS score ( Fig. 2 ; WMD, −3.6; 95% CI, −5.2 to −2.0; P =.00), with significant heterogeneity (I 2 = 96%; P =.00).…”

Section: Resultsmentioning

confidence: 94%

“…Nine studies evaluated the postoperative wrist flexion ROM 11 , 13 , 14 , 20 , 21 , 22 , 23 , 24 , 25 ; there was no significant difference before and after surgery ( Fig. 3 ; WMD, 1.3; 95% CI, −3.0 to 5.5, P = NS), but the heterogeneity was significant (I 2 = 82%; P value =.00).…”

Section: Resultsmentioning

confidence: 98%

“…Moreover, seven studies evaluated the postoperative grip strength in kg. 11 , 13 , 15 , 20 , 21 , 22 Pooling these studies showed a significant increase in postoperative grip strength (preoperative: mean, 25.1; 95% CI, 16.8–33.4; postoperative: mean, 40.4; 95% CI, 23.4–57.3) ( Fig. 4 ; WMD, 23.8; 95% CI, 17.6–29.9; P =.00), and heterogeneity was insignificant (I 2 = 19%; P =.29).…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Clinical and Radiological Outcomes of Scaphocapitate Fusion in Kienböck Disease: A Systematic Review and Meta-Analysis

Bouri

Hantouly

Alzobi

et al. 2023

Journal of Hand Surgery Global Online

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Section: Resultsmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Clinical and Radiological Outcomes of Scaphocapitate Fusion in Kienböck Disease: A Systematic Review and Meta-Analysis

Bouri

Hantouly

Alzobi

et al. 2023

Journal of Hand Surgery Global Online

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Scaphocapitate arthrodesis with lunate preservation for Kienböck’s disease: prospective outcomes study

Hegazy,

Fouaad,

El-Sadek

et al. 2024

Arch Orthop Trauma Surg

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Purpose The study evaluated the efficacy of SC arthrodesis with lunate preservation for treating patients diagnosed with stage IIIB or IIIC Kienböck’s disease, who also exhibit neutral ulnar variance. The study further aimed to explore potential variations in outcomes between patients diagnosed with stage IIIB and IIIC Kienböck’s disease. Methods Thirty-two patients diagnosed with stage IIIB (n = 19) and stage IIIC (n = 13) Kienböck’s disease underwent SC arthrodesis with distal radius bone grafting stabilised by Herbert compression screws. All participants underwent pre- and post-operative assessments including VAS score for pain, ROM, grip strength, MMWS, and the Quick DASH score. Additionally, RS angle, LHI ratio, and CHI ratio were assessed. Results For all patients, the mean operative time was 73 min, follow-up was 45.6 months, time to union was 14 weeks, and time to full return to work was 24 weeks. The rate of union at the arthrodesis site was 91% (29 out of 32 patients) whilst the incidence of postoperative degenerative arthritis was 36% (8 out of 32 patients). Regarding changes in the means of outcomes from pre- to post-operatively, the VAS score decreased from 8.2 to 1.3 and grip strength improved from 36 to 79%. The RS angle was corrected from 59° to 50°. Significant improvements were noted in the mean MMWS from 45 to 75 and QuickDASH score from 78 to 21. However, no significant changes were observed in ROM, LHI, and CHI. There were no significant differences between patients with stage IIIB and stage IIIC in terms of these parameters, except for differences observed in the RS angle, LHI, and CHI preoperatively and in LHI and CHI postoperatively. Conclusion Evidence level: II. Our research demonstrates that SC arthrodesis is a valuable approach for reducing pain, improving grip strength, and enhancing overall function in individuals with advanced Kienböck’s disease. Importantly, our results indicate no notable differences in outcomes between patients diagnosed with stage IIIB or IIIC Kienböck’s disease.

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Clinical-functional evaluation of a patient undergoing proximal row carpectomy for Kienböck's disease: A literature review and a case report

García-Catalán,

Márquez-Gutiérrez,

González-Torres

2024

Surgery Case Reports

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Management of type 3 Kienbock's disease in manual workers by scaphocapitate fusion with minimum 7-year follow-up

Cited by 4 publications

References 27 publications

Clinical and Radiological Outcomes of Scaphocapitate Fusion in Kienböck Disease: A Systematic Review and Meta-Analysis

Clinical and Radiological Outcomes of Scaphocapitate Fusion in Kienböck Disease: A Systematic Review and Meta-Analysis

Scaphocapitate arthrodesis with lunate preservation for Kienböck’s disease: prospective outcomes study

Clinical-functional evaluation of a patient undergoing proximal row carpectomy for Kienböck's disease: A literature review and a case report

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