Metaphyseal bone decompression of distal radius for early stages of Kienbock's disease. Minimum follow-up of 10 years.

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Published: Feb 15, 2018
DOI: https://doi.org/10.15417/757

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Ezequiel Ernesto Zaidenberg
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0002-1535-0586
Pablo De Carli
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0002-9474-8129
Jorge Guillermo Boretto
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0003-4665-2867
Agustin Donndorff
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0002-6384-4820
Veronica Alfie
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0001-7537-7337
Gerardo Luis Gallucci
Hospital Italiano de Buenos Aires
http://orcid.org/0000-0002-0612-320X
Aldo Illaramendi
Hospital Italiano de Buenos Aires

Abstract

BackgroundThe purpose of this study is to analyze the long-term clinical and radiological results of a series of patients with early stages of the Kienbock disease treated with radius core decompression.MethodsThis retrospective study included 23 patients with Kienböck’s disease (Lichtman stage II and IIIA) who underwent distal radius metaphyseal core decompression that were followed-up for at least 10 years. At the last follow-up, the patients were evaluated for wrist range of motion and grip strength. The overall results were evaluated by the modified Mayo wrist score and visual analogue scale pain score. We also compared the radiological changes between the preoperative and final follow-up in their Lichtman classification and the modified carpal height ratio. ResultsThe mean follow-up period was 13 years (range 10-18). Based on the modified Mayo Wrist Score, clinical results were excellent in 9 patients, good in 11 patients, fair in 2 and poor in one patient. The mean preoperative pain according to VAS was 7 (range 6-10) and was 1.1 (range 0-6) at the final follow-up. Compared with the opposite side, the average flexion/extension arc was 78% and the grip strength was 81%. Radiographic disease progression according to the Lichtman classification occurred in four wrists.ConclusionThis long-term follow-up study shows that radius core decompression is a valid alternative for the treatment of the early stages of the kienbock disease.

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How to Cite
Zaidenberg, E. E., De Carli, P., Boretto, J. G., Donndorff, A., Alfie, V., Gallucci, G. L., & Illaramendi, A. (2018). Metaphyseal bone decompression of distal radius for early stages of Kienbock’s disease. Minimum follow-up of 10 years. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 83(1), 25-30. https://doi.org/10.15417/757
Issue
Vol 83 No 1 (2018)
Section
Clinical Research
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