Conservative treatment versus scaphotrapeziotrapezoid arthrodesis for Kienbock's disease. A retrospective study.
Efficiency of surgical treatment in Kienböck's disease has never been proven in the long term. We retrospectively reviewed the charts of the 104 patients treated by various techniques for Kienböck's disease from 1981 to 1999 in our unit. A comparison was made between 19 cases treated conservatively (amongst 59) and 11 cases (amongst 25) treated by scaphotrapeziotrapezoid (STT) arthrodesis with a mean follow-up of 13 years. The two groups were statistically comparable in stage, age, sex ratio, number of manual workers. STT arthrodesis was responsible for an increased loss of mobility, an increase of barometric pain, a longer rehabilitation time and more fractures of lunatum than conservative treatment. Those results question about indications for STT in Kienböck's disease.
Van den Dungen
S
S
Department de chirurgie orthopédique, hôpital Erasmus, cliniques universitaires de Bruxelles, route de Lennik, 1070 Bruxelles, Belgique. svandendungen@hotmail.com
Dury
M
M
Foucher
G
G
Marin Braun
F
F
Loréa
P
P
D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods*; D002348:Carpal Bones; D003627:Data Interpretation, Statistical; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength; D006801:Humans; D007103:Immobilization; D012667:Lunate Bone / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009790:Occupations; D010007:Osteochondritis / Q000473:pathology / Q000601:surgery; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000534:rehabilitation / Q000601:surgery* / Q000628:therapy; D011859:Radiography; D012189:Retrospective Studies; D021361:Scaphoid Bone; D011795:Surveys and Questionnaires; D013997:Time Factors; D051222:Trapezium Bone; D051223:Trapezoid Bone; D014955:Wrist Joint / Q000502:physiology / Q000601:surgery