Arthroscopic limited intercarpal fusion without bone graft in patients with Kienbock's disease

作者：Ertem Kadir^*; Gormeli Gokay; Karakaplan Mustafa; Aslanturk Okan; Karakoc Yunus

来源：Joint Diseases and Related Surgery, 2016, 27(3): 132-137.

DOI：10.5606/ehc.2016.28

• Arthrodesis
• arthroscopy
• Kienbock's disease
• midcarpal fusion
• wrist

Objectives: This study aims to present our clinical results obtained in arthroscopic limited intercarpal fusion performed without using bone graft in patients with Kienbock's disease.
Patients and methods: The study included 11 patients with Kienbock's disease (6 males, 5 females; mean age 28.9 years; range 14 to 51 years) who were performed arthroscopic lunate excision and scaphocapitate fusion between November 2012 and December 2013. Bain and Begg Arthroscopic Classification was used for the staging of Kienbock's disease. Quick Disabilities of Arm, Shoulder and Hand and Mayo Wrist scorings were used for clinical evaluation.
Results: Intercarpal fusion was achieved in approximately 7.2 weeks. There was a statistically significant difference in Mayo Wrist scores of postoperative third and sixth months and pre- and postoperative Quick Disabilities of Arm, Shoulder and Hand scores. There was no postoperative complication.
Conclusion: According to our study findings, arthroscopic limited intercarpal fusion without using bone graft may be performed in patients with Kienbock's disease. Satisfactory clinical and functional results were obtained as a result of treatment with this method in stage 3 and 4 Kienbock's disease.

• 出版日期2016