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Journal of Hand Surgery (British and European Volume)
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Articles

Proximal Row Carpectomy Versus Limited Wrist Arthrodesis for Advanced Kienböck’s Disease

R. NAKAMURA
E. HORII
K. WATANABE
E. NAKAO
H. KATO
K. TSUNODA

From the Division of Hand Surgery, Department of Orthopaedic Surgery, Nagoya University School of Medicine, Nagoya, Japan

Correspondence: R. Nakamura MD, Division of Hand Surgery, Department of Orthopaedic Surgery, Nagoya University School of Medicine, 65 Tsurumaicho Showaku, Nagoya 466, Japan.

The outcomes in 20 patients with advanced Kienböck's disease treated by proximal row carpectomy (seven patients) or limited wrist arthrodesis (13 patients) were reviewed retrospectivey. Postoperatively, the results were more satisfactory in terms of wrist pain, the range of wrist flexion–extension, and grip strength following limited wrist arthrodesis than after proximal row carpectomy, although the differences were not statistically significant. We recommend scaphotrapeziotrapezoid arthrodesis in selected patients with advanced Kienböck's disease who have a fragmented lunate.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 6, 741-745 (1998)
DOI: 10.1016/S0266-7681(98)80087-9
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Home page
 J Hand Surg Eur VolHome page
R. JACOBS, I. DEGREEF, and L. DE SMET
Proximal Row Carpectomy With or Without Postoperative Immobilisation
J Hand Surg Eur Vol., December 1, 2008; 33(6): 768 - 770.
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