This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by DE SMET, L. Articles by DEGREEF, I. Search for Related Content PubMed PubMed Citation Articles by DE SMET, L. Articles by DEGREEF, I. Pubmed/NCBI databases Medline Plus Health Information Osteonecrosis Social Bookmarking                         What's this?

Proximal Row Carpectomy in Advanced Kienbock’s Disease

From the Department of Orthopaedic Surgery, U.Z. Pellenberg, Weligerveld 1, Lubbeek (Pellenberg), Belgium

Correspondence: L. De Smet, Department of Orthopedic Surgery, U.Z. Pellenberg, Weligerveld, 1, B-3212 Lubbeek (Pellenberg), Belgium. Tel.: +32 016 338800; fax: +32 016 338803 E-mail: luc.desmet{at}uz.kuleuven.ac.be

This retrospective study assessed the outcomes of 21 patients (16 male and 5 female, mean age 39 years) with advanced Kienbock’s disease treated by resection of the proximal carpal row. They were clinically reviewed. The mean follow-up was 67 months, with all but two patients having had a follow-up of 2 years. No or mild pain was being experienced by 13 patients, moderate pain by 3 and severe pain by 5. Grip strength increased from 19 kg preoperatively to 26 kg postoperatively (or 65% of the normal contralateral side). There was a slight increase of mobility. The DASH score was 22 points (range 0–78) and the Patient Rated Wrist Score (PRWS) was 30 points (range 0–84). Two patients developed Complex Regional Pain Syndrome which was ongoing at the time of review and one developed a superficial wound infection. Proximal carpal row resection arthroplasty gave satisfactory results in patients with advanced Kienbock’s disease.

Key Words: wrist • Kienböck • lunatomalacia • proximal row carpectomy • outcome

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 6, 585-587 (2005)
DOI: 10.1016/J.JHSB.2005.06.024


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				T. Watanabe, M. Takahara, H. Tsuchida, S. Yamahara, N. Kikuchi, and T. Ogino Long-Term Follow-up of Radial Shortening Osteotomy for Kienbock Disease J. Bone Joint Surg. Am., August 1, 2008; 90(8): 1705 - 1711. [Abstract] [Full Text] [PDF]