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Treatment of Osteochondral Defects in the Rabbit's Knee Joint by Implantation of Allogeneic Mesenchymal Stem Cells in Fibrin Clots
Published on: May 21, 2013
[Treatment of Kienböck's disease using a pyrocarbon implant: case report]
J D Werthel1, D Vu Hoang1, P Boyer1
1Service de chirurgie orthopédique et de traumatologie, université Paris-Diderot, hôpital Bichat, Assistance publique-Hôpitaux de Paris, GHU Paris-Nord, 46, rue Henri-Huchard, 75018 Paris, France.
Abstract:
We report on two patients with advanced Kienböck's disease (Lichtman IIIa and IIIb) who underwent surgical treatment in which the lunate was replaced by a pyrocarbon implant. At a mean follow-up of 3 years, the average VAS pain score was 1 and the average DASH was 11.5. There were no changes in range of motion after surgery and the average grip strength was 76.5% of the contralateral side. X-rays showed no disease progression. These encouraging preliminary results have led us to suggest replacing the lunate with a pyrocarbon implant in a greater number of patients with advanced Kienböck's disease.

