Long-term results of vascularized os pisiform transfer for advanced Kienböck disease after follow-up for at least 15 years : A case series

No surgical procedure perfectly treats advanced Kienböck disease. Although vascularized os pisiform transferring (VOPT) is one of the main therapeutic approaches, reports on long-term follow-up and case series for this technique are scarce.We collected postoperative results in 11 patients with advanced Kienböck disease who underwent VOPT between 1986 and 2001 in our Hospital. Follow-up durations ranged from 15 to 26 years.At the last follow-up, excellent and good results were found in 81.8% according to the Modified Green and O'Brien score. Postoperative imaging revealed significantly reduced pisiform bone; carpal height ratio and Nattrass index were decreased, while the radioscaphoid angle was increscent, compared with preoperative and mid-term follow-up results.The favorable long-term results demonstrated that VOPT is a dependable and durable procedure for the treatment of advanced Kienböck disease, with pain relief and functional improvement despite some radiographic findings such as wrist osteoarthritis occurrence.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:97

Enthalten in:

Medicine - 97(2018), 48 vom: 03. Nov., Seite e13229

Sprache:

Englisch

Beteiligte Personen:

Tan, Zhenwei [VerfasserIn]
Xiang, Zhou [VerfasserIn]
Huang, Fuguo [VerfasserIn]
Yang, Zhiming [VerfasserIn]
Xiao, Cong [VerfasserIn]
Duan, Xin [VerfasserIn]

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Volltext

Themen:

Journal Article

Anmerkungen:

Date Completed 27.12.2018

Date Revised 05.10.2022

published: Print

Citation Status MEDLINE

doi:

10.1097/MD.0000000000013229

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM291396771