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Lunate Silastic arthroplasty in Kienbock's disease
1Department of Orthopaedics, St Mary's Orthopaedic Hospital, Co. Cork, Ireland.
Journal of the Royal College of Surgeons of Edinburgh
|February 1, 1992
Summary
Silastic lunate replacement for Kienbock
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Wrist Disorders
Background:
- Kienbock's disease involves avascular necrosis of the lunate bone.
- Silastic lunate replacement is a surgical option for Kienbock's disease.
- Long-term outcomes of this procedure require further investigation.
Purpose of the Study:
- To evaluate the long-term efficacy of Silastic lunate replacement for Kienbock's disease.
- To assess patient satisfaction and complication rates following the procedure.
Main Methods:
- Retrospective review of eight patients undergoing Silastic lunate replacement.
- Assessment of outcomes at an average follow-up of 44 months.
- Clinical evaluation for satisfaction and evidence of synovitis.
Main Results:
- Good short-term results were not sustained long-term.
- Only two out of eight patients had satisfactory outcomes at long-term follow-up.
- Synovitis was observed in seven of the eight patients.
Conclusions:
- Silastic lunate replacement may lead to poor long-term results for Kienbock's disease.
- Scapho-trapezio-trapezoid fusion is suggested as a potentially superior surgical option.
- Further research into optimal surgical management for Kienbock's disease is warranted.