Related Experiment Video
Updated: Mar 1, 2026
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
[Intercarpal fusion as a salvage procedure in Kienböck disease]
M Puig-Zentella1, J A Rivas-Montero2, E Hernández-Méndez-Villamil2
1Instituto Nacional de Rehabilitación «Luis Guillermo Ibarra Ibarra». Calzada México-Xochimilco Núm. 289, Col. Arenal de Guadalupe, CP 14389, Del. Tlalpan, Ciudad de México. México.
Introduction:
Functional results of four surgical techniques to resolve the IIIB-IV Litchman's stage of the Kienböck disease were analyzed. We observed the evolution from 2000 to 2015.
Material And Methods:
Transversal retrospective study of 33 patients treated with different surgical techniques and evaluated with Quick-DASH scale, dynamometer and EVA.
Results:
Less functional limitation was found in the patients who underwent the intercarpal fusion with or without neurotomy of the posterior interosseous.
Discussion:
It was shown that the fact of making a less aggressive surgery is enough to evolve into an increase in symptoms and a decrease in function and strength; therefore, the intercarpal fusion performed at the right time of the natural history of the disease can achieve better results than other methods used previously and endorsed by international associations.
Conclusions:
The surgical technique of choice in our series to prevent disease progression was the intercarpal fusion and neurotomy of the posterior interosseous nerve.
