Clinical and radiographic results of lunate resection and vascularized os pisiform transfer for Kienböck's disease
Summary: Although various treatments for advanced stages of Kienböck's disease have been reported, clinical evidence demonstrating the efficacy of lunate resection and vascularized os pisiform transfer for Kienböck's disease is limited. Herein, we investigated the clinical and radiographic...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587823001067 |
| _version_ | 1797291766640017408 |
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| author | Masaomi Saeki Hidemasa Yoneda Michiro Yamamoto |
| author_facet | Masaomi Saeki Hidemasa Yoneda Michiro Yamamoto |
| author_sort | Masaomi Saeki |
| collection | DOAJ |
| description | Summary: Although various treatments for advanced stages of Kienböck's disease have been reported, clinical evidence demonstrating the efficacy of lunate resection and vascularized os pisiform transfer for Kienböck's disease is limited. Herein, we investigated the clinical and radiographic results of this procedure. We retrospectively investigated eight patients who were followed up for ≥1 year. The mean age at the time of surgery was 52 years. The mean follow-up period was 3.4 years. The preoperative and postoperative mean wrist flexion–extension ranges were 84° and 111°, respectively, and grip strengths were 18.5 and 26.3 kg, respectively. Pain decreased in five patients postoperatively. The mean preoperative and postoperative carpal height ratios were 0.47 and 0.46, respectively, and radio scaphoid angles were 63° and 65°, respectively. Osteoarthritic changes were observed in or around the transferred pisiform in all five patients who were surveyed using radiographs. Most patients demonstrated satisfactory clinical results, including pain relief and improved wrist motion and grip strength, regardless of osteoarthritic wrist changes on postoperative radiographs. In summary, this procedure was effective for treating Kienböck's disease, especially in the advanced stages.Level of evidence: Ⅳ |
| first_indexed | 2024-03-07T19:41:31Z |
| format | Article |
| id | doaj.art-5ae818f6d136448cab12c6773ba8cd53 |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-03-07T19:41:31Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-5ae818f6d136448cab12c6773ba8cd532024-02-29T05:19:36ZengElsevierJPRAS Open2352-58782024-03-0139132141Clinical and radiographic results of lunate resection and vascularized os pisiform transfer for Kienböck's diseaseMasaomi Saeki0Hidemasa Yoneda1Michiro Yamamoto2Corresponding author at: Graduate School of Medicine, Nagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.; Department of Human Enhancement & Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Human Enhancement & Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Human Enhancement & Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanSummary: Although various treatments for advanced stages of Kienböck's disease have been reported, clinical evidence demonstrating the efficacy of lunate resection and vascularized os pisiform transfer for Kienböck's disease is limited. Herein, we investigated the clinical and radiographic results of this procedure. We retrospectively investigated eight patients who were followed up for ≥1 year. The mean age at the time of surgery was 52 years. The mean follow-up period was 3.4 years. The preoperative and postoperative mean wrist flexion–extension ranges were 84° and 111°, respectively, and grip strengths were 18.5 and 26.3 kg, respectively. Pain decreased in five patients postoperatively. The mean preoperative and postoperative carpal height ratios were 0.47 and 0.46, respectively, and radio scaphoid angles were 63° and 65°, respectively. Osteoarthritic changes were observed in or around the transferred pisiform in all five patients who were surveyed using radiographs. Most patients demonstrated satisfactory clinical results, including pain relief and improved wrist motion and grip strength, regardless of osteoarthritic wrist changes on postoperative radiographs. In summary, this procedure was effective for treating Kienböck's disease, especially in the advanced stages.Level of evidence: Ⅳhttp://www.sciencedirect.com/science/article/pii/S2352587823001067PostoperativeKienböck's diseasePisiformVascularized bone graft |
| spellingShingle | Masaomi Saeki Hidemasa Yoneda Michiro Yamamoto Clinical and radiographic results of lunate resection and vascularized os pisiform transfer for Kienböck's disease JPRAS Open Postoperative Kienböck's disease Pisiform Vascularized bone graft |
| title | Clinical and radiographic results of lunate resection and vascularized os pisiform transfer for Kienböck's disease |
| title_full | Clinical and radiographic results of lunate resection and vascularized os pisiform transfer for Kienböck's disease |
| title_fullStr | Clinical and radiographic results of lunate resection and vascularized os pisiform transfer for Kienböck's disease |
| title_full_unstemmed | Clinical and radiographic results of lunate resection and vascularized os pisiform transfer for Kienböck's disease |
| title_short | Clinical and radiographic results of lunate resection and vascularized os pisiform transfer for Kienböck's disease |
| title_sort | clinical and radiographic results of lunate resection and vascularized os pisiform transfer for kienbock s disease |
| topic | Postoperative Kienböck's disease Pisiform Vascularized bone graft |
| url | http://www.sciencedirect.com/science/article/pii/S2352587823001067 |
| work_keys_str_mv | AT masaomisaeki clinicalandradiographicresultsoflunateresectionandvascularizedospisiformtransferforkienbocksdisease AT hidemasayoneda clinicalandradiographicresultsoflunateresectionandvascularizedospisiformtransferforkienbocksdisease AT michiroyamamoto clinicalandradiographicresultsoflunateresectionandvascularizedospisiformtransferforkienbocksdisease |