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Proximal row carpectomy in advanced Kienböck's disease
1Division of Orthopaedic Surgery, University of Wisconsin Medical School, Madison 53792.
The Journal of Hand Surgery
|November 1, 1994
Summary
Proximal row carpectomy effectively treated advanced Kienböck's disease, significantly reducing pain and improving wrist function. Patients regained grip strength and returned to work, demonstrating satisfactory outcomes.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Wrist Arthroscopy
Background:
- Kienböck's disease is a condition affecting the lunate bone in the wrist.
- Advanced stages (Lichtman stage IIIa and IIIb) present significant challenges for treatment.
- Surgical intervention is often necessary for pain relief and functional restoration.
Purpose of the Study:
- To evaluate the efficacy of proximal row carpectomy for advanced Kienböck's disease.
- To assess pain reduction, wrist motion, and grip strength post-surgery.
- To determine the functional recovery and return to work rates after the procedure.
Main Methods:
- Retrospective study of 16 patients with advanced Kienböck's disease (Lichtman stage IIIa/IIIb).
- All patients underwent proximal row carpectomy.
- Follow-up duration ranged from 1 to 8 years, with an average of 3 years for 14 patients.
Main Results:
- All 14 followed patients reported reduced pain.
- Wrist motion was improved or unchanged in 12 patients.
- Average grip strength was 72% of the unaffected side, with all patients returning to their previous jobs.
Conclusions:
- Proximal row carpectomy yields satisfactory results for advanced Kienböck's disease.
- The procedure effectively alleviates pain and restores wrist function.
- Patients can expect significant functional recovery and return to work post-surgery.