Radiolunate Fusion Using Vascularized Radius Bridging Graft for the Treatment of Advanced Kienböck Disease: Two Cases Report

Ono, Hiroshi; Furuta, Kazuhiro; Fujitani, Ryotaro

doi:10.1142/s0218810410004709

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…One disadvantage of radiolunate arthrodesis is non-union [6,7]. However, Ono reported good outcomes of radiolunate fusion using a vascularized radius graft for treatment of Bain's grade 2A Kienb€ ock disease with incongruity of the radiolunate joint [8].…”

Section: Discussionmentioning

confidence: 99%

Vascularized medial femoral condyle graft for nonunion after failed radiolunate arthrodesis

Nakanishi

Omokawa

Kawamura

et al. 2019

Case Reports in Plastic Surgery and Hand Surgery

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Section: Discussionmentioning

confidence: 99%

Vascularized medial femoral condyle graft for nonunion after failed radiolunate arthrodesis

Nakanishi

Omokawa

Kawamura

et al. 2019

Case Reports in Plastic Surgery and Hand Surgery

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“…Patients aged <65 years who were manual workers and participated in high-demand sports activities were indicated for a vascularized bone graft, vascularized osteochondral bone graft from the femur, 13 or radiolunate fusion with a vascularized bone graft. 14 Patients who were not reviewed, both, clinically and radiographically, and those who participated in follow-up for less than 2 years, were excluded from the study. The study received Institutional Review Board approval from Nara Medical University (study no.…”

Section: Methodsmentioning

confidence: 99%

Arthroscopic Lunate Excision Provides Excellent Outcomes for Low-Demand Patients with Advanced Kienböck’s Disease

Shimizu

Omokawa

Kawamura

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To examine the clinical outcomes of arthroscopic lunate excisions for advanced Kienböck's disease. Methods: Fifteen patients (six men and nine women; mean age: 65 years; range: 48-83 years) with advanced Kienböck's disease, who underwent arthroscopic lunate resection between April 2008 and March 2016, were reviewed clinically and radiographically after a follow-up of >2 years (mean: 29 months; range: 24-60 months). Clinical parameters, such as wrist range of motion, grip strength, Disabilities of the Arm, Shoulder, and Hand (DASH) score, and patient-rated wrist evaluation (PRWE) score were evaluated. Radiographic parameters included radioscaphoid angle, scaphocapitate angle, carpal height ratio, ulnar-triquetrum distance, and the scaphoid-triquetrum distance. Wilcoxon's signed-rank test was used to compare measurement results. Results: During the final follow-up, patients exhibited significant improvements, such as 42.9 in wrist range of motion (P ¼ .009), 24.5% of the contralateral side in grip strength (P ¼ .001), 26.2 points in DASH score (P ¼ .002), and 37.8 points in PRWE score (P < .001), compared with the preoperative values. The radioscaphoid and scaphocapitate angles significantly increased by 4.8 (P ¼ .0027) and 3.7 (P ¼ .0012), respectively. The carpal height ratio, ulnar-triquetrum distance, and scaphoid-triquetrum distance significantly decreased by 0.05 (P < .001), 2.6 mm (P < .001), and 1.3 mm (P ¼ .0012), respectively. Conclusions: Our results suggest that arthroscopic lunate excisions provided excellent postoperative pain relief and functional recovery within 2 years of follow-up. Changes in carpal alignment and stress concentration on the radial side of the carpal bones could occur in the long term; however, arthroscopic lunate excision can be a good surgical option for treating low-demand patients with advanced Kienböck's disease. Level of Evidence: Level IV, therapeutic case series

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The treatment of arthritis of the wrist

Logan

Warwick

2015

The Bone & Joint Journal

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Arthritis of the wrist is a painful disabling condition that has various causes and presentations. The traditional treatment has been a total wrist fusion at a price of the elimination of movement. However, forms of treatment which allow the preservation of movement are now preferred. Modern arthroplasties of the wrist are still not sufficiently robust to meet the demands of many patients, nor do they restore normal kinematics of the wrist. A preferable compromise may be selective excision and partial fusion of the wrist using knowledge of the aetiology and pattern of degenerative change to identify which joints can be sacrificed and which can be preserved. This article provides an overview of the treatment options available for patients with arthritis of the wrist and an algorithm for selecting an appropriate surgical strategy.

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Radiolunate Fusion Using Vascularized Radius Bridging Graft for the Treatment of Advanced Kienböck Disease: Two Cases Report

Cited by 4 publications

References 10 publications

Vascularized medial femoral condyle graft for nonunion after failed radiolunate arthrodesis

Vascularized medial femoral condyle graft for nonunion after failed radiolunate arthrodesis

Arthroscopic Lunate Excision Provides Excellent Outcomes for Low-Demand Patients with Advanced Kienböck’s Disease

The treatment of arthritis of the wrist

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