Scaphocapitate arthrodesis for the treatment of Kineböck's disease

Sennwald, G; Ufenast, Henri

doi:10.1016/s0363-5023(05)80119-4

Cited by 72 publications

(50 citation statements)

References 9 publications

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“…10 -16 After partial arthrodesis the Cooney score lies within 62 to 83 points and the Krimmer score is rated at 62 to 69 points. [11][12][13][14]27 Saffar's procedure seems comparable with the outcome of partial fusion in the later course of Kienböck's disease with an average DASH score of 23.3 points, average Cooney score of 75.4 points, average Krimmer score of 77.1 points, and average wrist ROM of 70% and average grip power of 80% of the opposite hand. In conformity with our results Brüser et al 28 described a reliable pain control by Saffar's procedure but functional outcome was lower in that study than in ours.…”

Section: Discussionmentioning

confidence: 99%

Lunate Resection and Vascularized Os Pisiform Transfer in Kienböck’s Disease: An Average of 10 Years of Follow-Up Study After Saffar’s Procedure

Daecke

Lorenz

Wieloch

et al. 2005

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 99%

Lunate Resection and Vascularized Os Pisiform Transfer in Kienböck’s Disease: An Average of 10 Years of Follow-Up Study After Saffar’s Procedure

Daecke

Lorenz

Wieloch

et al. 2005

The Journal of Hand Surgery

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“…17,18 Operative technique The technique for this procedure has been previously described. 4,7,8 In brief, a dorsal longitudinal incision centered over the third metacarpal and ulnarly based retinacular flaps are elevated. A ligament-sparing dorsal capsulotomy is performed and the lunate is inspected.…”

Section: Clinical and Radiographic Outcome Measuresmentioning

confidence: 99%

“…Also, complications such as nonunion, persistent wrist pain, complex regional pain syndrome (CRPS), and ulnar translation of the carpus may occur after SCA (Szalay et al, presented at the Annual Meeting of the American Society for Surgery of the Hand, 2001). 7,8,10,11 The purpose of this study was to report the clinical and radiographic outcomes of SCA in patients with advanced Kienböck disease (stages IIIAeIV). We hypothesized that SCA would result in improved pain and grip strength with minimal decrease in wrist motion and would successfully correct and maintain carpal height and carpal alignment in medium-term follow-up.…”

mentioning

confidence: 99%

Scaphocapitate Arthrodesis for Kienböck Disease

Rhee

Lin

Moran

et al. 2015

The Journal of Hand Surgery

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“…The term 'advanced Kienbock's Disease' [1,8,11,14] has been used in many articles but there is no clear definition or [12,14,16] and wrist fusion [9]. There is no strong evidence to support the use of one procedure over the other.…”

Section: Discussionmentioning

confidence: 99%

Wrist fusion versus limited carpal fusion in advanced kienbock's disease

Tambe

Trail

Stanley

2005

International Orthopaedics (SICO

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We treated 18 patients with advanced Kienbock's disease surgically. Six had total wrist fusions and 12 had limited carpal fusions. The average age was 39.6 yrs and the average follow up was 61.8 months and 66.8 months respectively. The visual analogue pain scores, the patient satisfaction scores and the SF 12 were better in the total wrist fusion group. The DASH (Disabilities of the Arm, Shoulder and Hand) scores, the range of movement and the grip strengths were better in the limited carpal fusions group but this was not statistically significant. Four patients with limited carpal fusions had a non-union that required revising. We believe that total wrist fusion should be offered earlier to patients with advanced stages of the disease, as there are less surgical failures, more satisfied patients, better post operative pain scores and consistent long-term results with less potential for further deterioration with time as compared to other treatment methods.Résumé Nous avons traité chirurgicalement 18 malades avec une maladie de Kienbock avancée. Six malades ont eu une arthrodèse radio-carpienne complète et 12 une arthrodèse carpienne limitée. L'âge moyen était de 39,6 ans et la moyenne de suivi était de 61,8 mois et 66,8 mois respectivement. La score analogique visuel de la douleur, la score de satisfaction des malades et le score SF 12 sont meilleurs dans le groupe fusion complète. Le score DASH (Invalidités Bras, Épaule et Main), l'amplitude de mouvement et la force de préhension étaient meilleurs dans le groupe des fusions carpiennes limitées mais ce n'était pas statistiquement significatif. Quatre malades avec une fusion carpienne limitée avaient une pseudarthrose qui a exigé une révision. Nous croyons que la fusion complète du poignet devrait être offerte plus précocement aux malades aux étapes avancées de la maladie, car il y aurait moins d'échec chirurgicaux, plus de patients satisfaits, de meilleurs résultats sur la douleur, et des résultats plus solides à long terme avec moins de risque de détérioration secondaire, comparée aux autres méthodes du traitement.

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Scaphocapitate arthrodesis for the treatment of Kineböck's disease

Cited by 72 publications

References 9 publications

Lunate Resection and Vascularized Os Pisiform Transfer in Kienböck’s Disease: An Average of 10 Years of Follow-Up Study After Saffar’s Procedure

Lunate Resection and Vascularized Os Pisiform Transfer in Kienböck’s Disease: An Average of 10 Years of Follow-Up Study After Saffar’s Procedure

Scaphocapitate Arthrodesis for Kienböck Disease

Wrist fusion versus limited carpal fusion in advanced kienbock's disease

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