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[Semilunar disease]

H Evrard, C Guillaume, F Hoet

    Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
    |January 1, 1982
    PubMed
    Summary
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    Surgical treatment for Kienböck's disease, including ulna lengthening and lunate resection, effectively improved wrist pain and mobility in most patients. Lunate resection is a valid surgical option for this condition.

    Area of Science:

    • Orthopaedic Surgery
    • Wrist Joint Pathologies

    Background:

    • Kienböck's disease affects the lunate bone in the wrist.
    • Surgical intervention is common for managing Kienböck's disease, often addressing pain and stiffness.

    Purpose of the Study:

    • To evaluate the outcomes of surgical treatments for Kienböck's disease.
    • To assess the efficacy of ulna lengthening and lunate resection in improving patient symptoms and wrist function.

    Main Methods:

    • A multicenter study reviewed 57 patients with Kienböck's disease.
    • Surgical procedures included ulna lengthening (30 cases) and lunate resection (11 cases).
    • Patient outcomes were assessed based on pain, mobility, and radiological changes.

    Main Results:

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  • Ninety percent of patients underwent surgical treatment for Kienböck's disease.
  • Ulna lengthening and lunate resection improved pain and mobility in 75% of cases.
  • Radiological changes were evaluated using Decoulx classification and distinct post-operative criteria.
  • Conclusions:

    • Lunate resection is a validated and effective surgical procedure for treating Kienböck's disease.
    • Surgical management, particularly ulna lengthening and lunate resection, offers significant benefits for patients suffering from wrist pain and stiffness due to Kienböck's disease.