[Role of scapho-trapezo-trapezoidal arthrodesis in the treatment of Kienbock disease. 11 cases].
11 patients with Decoulx stage III Kienböck's disease with rotatory subluxation of the scaphoid were treated with scapho-trapezo-trapezoid arthrodesis. The associated procedures were lunate implant resection arthroplasty in 6 cases, lunate resection in 3 cases, shortening of the radius in 1 case. The average follow-up was 40 months (12 to 84 months). There was no complication of the arthrodesis. Relief of pain is satisfactory in 7 of the 11 patients. The average grip strength is 66% of that observed on the affected side. The range of movement was decreased especially for radial deviation. There was a positive correlation between, the exact scaphoid reduction, a wrist without preoperative degenerative arthritis and the good clinical results. No differences were observed in the results between the associated lunate procedures. STT fusion seems to be a useful procedure in the treatment of stage III Kienböck's disease with carpal malalignment as it removes compressive stress from the diseased lunate and treats, the accompanying rotatory subluxation of the scaphoid.
Allieu
Y
Y
Service de Chirurgie Orthopédique et Chirurgie de la Main, Hôpital Lapeyronie, Route de Ganges, Montpellier.
Chammas
M
M
Lussiez
B
B
Toussaint
B
B
Benichou
M
M
Canovas
F
F
D000328:Adult; D001174:Arthrodesis / Q000379:methods / Q000592:standards*; D001178:Arthroplasty / Q000379:methods / Q000592:standards; D002348:Carpal Bones; D003258:Consumer Behavior; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010007:Osteochondritis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular
Place de l'arthrodèse scapho-trapézo-trapézoïdienne dans le traitement de la maladie de Kienböck. A propos de onze observations.