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Journal of Hand Surgery (British and European Volume)
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Articles

Conservative Versus Operative Treatment for Kienböck’s Disease

A retrospective study

O. DELAERE
M. DURY
A. MOLDEREZ
G. FOUCHER

From S. O. S Main, Strasbourg, France

Correspondence: G. Foucher MD, 4 Bd du Président Edwards, 67000 Strasbourg, France.

In this retrospective study on Kienböck’s disease, a comparison was made between 21 cases operated on by various techniques and 22 cases treated conservatively, with a mean follow-up of 65 months. Operative management of the disease did not show any superiority over conservative treatment. Moreover, surgery was responsible for a loss of mobility of 24%, and for a change in social activities in about a quarter of the patients, while grip strength was only slightly improved. Surgical indications for Kienböck’s disease should be carefully considered, keeping in mind their side-effects, and the relative benignity in some cases of the natural course of the disease.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 1, 33-36 (1998)
DOI: 10.1016/S0266-7681(98)80214-3
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