Mid-term follow-up results of gradual capitate lengthening for the treatment of stage IIIA Kienbock's disease.

IF 1.3 4区医学 Q3 ORTHOPEDICS

Journal of Orthopaedic Surgery Pub Date : 2023-01-01 DOI:10.1177/10225536231166205

Mesut Kariksiz, Ozgur Karakoyun

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引用次数: 0

Abstract

Purpose: This study aimed to evaluate the mid-term radiological and clinical results of gradual lengthening of capitate for the treatment of stage IIIA Kienbock's disease.

Methods: We retrospectively reviewed nine patients (five females, four males) with Lichtman stage IIIA Kienbock's disease who underwent gradual capitate lengthening at our hospital. Their clinical (range of motion (ROM), grip strength, visual analogue scale (VAS) value for pain, and Mayo wrist score (MWS)) and radiological outcomes (in terms of progression of arthritis and carpal height ratio) at the last follow-up were compared to the preoperative values.

Results: The mean age of the nine patients was 30 years (range: 20-38 years). The mean follow-up period was 73.8 (60-83) months. The average grip strength increased from 14.3 kg preoperatively to 22.3 kg at the last follow-up. The mean MWS increased from 58.8 preoperatively to 79.4 postoperatively. The mean VAS values decreased from the preoperative values: from 1.9 to 0.36 at rest, from 3.75 to 1.6 during mild effort, and from 5.35 to 3 during severe effort. The average carpal height ratio changed from 0.38 preoperatively to 0.53 postoperatively. None of the patients had any arthritic changes in their wrists.

Conclusion: Gradual lengthening of capitate offers satisfactory mid-term results for treating stage IIIA Kienbock's disease.

查看原文本刊更多论文

渐进式头部延长治疗IIIA期Kienbock病的中期随访结果。

目的:本研究旨在评价渐进式头盖骨延长术治疗IIIA期Kienbock病的中期影像学和临床效果。方法:我们回顾性分析了9例Lichtman IIIA期Kienbock病患者(5女4男)在我院接受渐进式头颅骨延长手术。最后一次随访时，患者的临床(活动度(ROM)、握力、疼痛视觉模拟评分(VAS)值、梅奥手腕评分(MWS))和影像学结果(关节炎进展和腕高比)与术前值进行比较。结果:9例患者平均年龄30岁(范围20 ~ 38岁)。平均随访时间为73.8(60-83)个月。平均握力从术前14.3 kg增加到末次随访时的22.3 kg。平均MWS从术前的58.8增加到术后的79.4。平均VAS值较术前值下降:休息时从1.9降至0.36，轻度用力时从3.75降至1.6，重度用力时从5.35降至3。平均腕高比由术前的0.38变为术后的0.53。所有患者的手腕都没有任何关节炎的变化。结论:渐进式头盖骨延长术治疗IIIA期Kienbock病中期效果满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthopaedic Surgery ORTHOPEDICS-SURGERY

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.