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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Fujiwara, Hiroyoshi Oda, Ryo Morisaki, Shinsuke Ikoma, Kazuya Kubo, Toshikazu |
| Description | Country affiliation: Japan Author Affiliation: Fujiwara H ( Department of Orthopaedics, Kyoto Prefectural University of Medicine, Kyoto, Japan. fjwr@koto.kpu-m.ac.jp) |
| Abstract | PURPOSE: Vascularized bone grafting (VBG) is one of the therapeutic approaches for treating advanced Kienböck disease; however, few reports on long-term outcomes are available for this technique. The purpose of this study is to evaluate long-term results by following up patients with stage III Kienböck disease for more than 10 years after VBG. METHODS: The study included 18 patients with advanced Kienböck disease (Lichtman stage IIIA, n = 10; stage IIIB, n = 8) who received VBG between 1996 and 2001 and were followed up for at least 10 years. Eleven patients received transplantation from the metacarpal base and 7 patients from the distal radius. Radial shortening and capitate shortening were performed in 5 and 2 stage IIIB patients, respectively. RESULTS: The mean follow-up period was 12 years, 3 months. Based on the Mayo Modified Wrist Score, clinical results were excellent in 8 patients, good in 7 patients, and fair in 3 patients. The Stahl index and carpal height ratio were not improved in stage IIIA patients who received bone graft alone, whereas significant improvement was observed in stage IIIB patients who received shortening, as well. CONCLUSIONS: Vascularized bone grafting for stage III Kienböck disease demonstrated favorable long-term results and is recommended as a surgical treatment. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III. |
| File Format | HTM / HTML |
| ISSN | 03635023 |
| Issue Number | 5 |
| Volume Number | 38 |
| e-ISSN | 15316564 |
| Journal | The Journal of Hand Surgery |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2013-05-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Surgery Bone Transplantation Methods Osteonecrosis Physiopathology Surgery Wrist Joint Adolescent Adult Aged Female Hand Strength Humans Magnetic Resonance Imaging Male Middle Aged Osteotomy Radius Range Of Motion, Articular Treatment Outcome Young Adult Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
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