title: Treatment of Kienböck's disease with scaphotrapezio-trapezoid arthrodesis.
abstract: The long-term results of 28 cases of Kienböck's disease treated with scaphotrapezio-trapezoid arthrodesis between 1980 and 1990 are presented. The average follow-up period was 51 months. Of these wrists, nine required late lunate excision for pain and limited motion; however, only three patients in the entire series required further wrist salvage procedures (wrist arthrodesis, proximal row carpectomy). At late follow-up examination, range of motion averaged 48 degrees in extension, 52 degrees in flexion, 11 degrees in radial deviation, and 27 degrees in ulnar deviation. Using a subjective pain relief rating scale, patients reported excellent results in 12 cases, good results in 9, fair results in 4, and poor results in 2 (1 case was omitted because of a coexisting different disease).
authors.affiliation: Connecticut Combined Hand Surgery, University of Connecticut, Hartford, USA.
authors.forename: H K
authors.initials: HK
authors.lastname: Watson
authors.forename: D M
authors.initials: DM
authors.lastname: Monacelli
authors.forename: R S
authors.initials: RS
authors.lastname: Milford
authors.forename: I V
authors.initials: IV
authors.lastname: Ashmead D
mesh_terms: D000293:Adolescent; D000328:Adult; D001174:Arthrodesis; D006801:Humans; D008875:Middle Aged; D010007:Osteochondritis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery