Conservative versus operative treatment for Kienböck's disease. A retrospective study.
In this retrospective study on Kienböck's disease, a comparison was made between 21 cases operated on by various techniques and 22 cases treated conservatively, with a mean follow-up of 65 months. Operative management of the disease did not show any superiority over conservative treatment. Moreover, surgery was responsible for a loss of mobility of 24%, and for a change in social activities in about a quarter of the patients, while grip strength was only slightly improved. Surgical indications for Kienböck's disease should be carefully considered, keeping in mind their side-effects, and the relative benignity in some cases of the natural course of the disease.
Delaere
O
O
S.O.S. Main, Strasbourg, France.
Dury
M
M
Molderez
A
A
Foucher
G
G
D000328:Adult; D016022:Case-Control Studies; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D010007:Osteochondritis / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy*; D011183:Postoperative Complications / Q000453:epidemiology; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation; D012189:Retrospective Studies; D013165:Splints; D013997:Time Factors; D016896:Treatment Outcome; D014955:Wrist Joint / Q000503:physiopathology