Scaphocapitate Arthrodesis for Kienböck Disease

Results of scaphocapitate arthrodesis with lunate excision in advanced Kienböck disease at 10.7-year mean follow-up

“…In conclusion, this study confirmed our hypothesis concerning the long-term results of scaphocapitate arthrodesis with lunate excision for the treatment of advanced Kienböck's disease. This series has a mean follow-up of 10.7 years, with a maximum follow-up of more than 22 years, superior or comparable with the recent series of Luegmair and Saffar (2014) and Rhee et al (2015). With 90% satisfied patients, absent or minimal pain, a functional arc of mobility and preserved grip strength, we have found this procedure is a reliable and durable solution in this condition.…”

“…His findings indicated a risk of degenerative change in the radioscaphoid and midcarpal joints, with potential for deterioration in the results over time. However, more recent clinical studies have reported encouraging results (Iorio et al., 2015; Rhee et al., 2015). The hypothesis of this study was that scaphocapitate arthrodesis with lunate excision in advanced-stage Kienböck disease with lunate collapse gives satisfactory and stable results over time.…”

Clinical Outcome of Lateral Wedge Osteotomy of the Radius in Advanced Stages of Kienböck's Disease

“… 8 10) However, salvage procedures, such as proximal row carpectomy, limited carpal fusion, and wrist arthrodesis reduce the wrist ROM. 3 8 9 10) In addition, these salvage procedures could not halt the secondary arthritic changes in the radiocarpal and other joints around the wrist, despite symptomatic relief. 9 10 25 26) Radial osteotomy is a relatively simple extra-articular procedure, and surgery itself does not influence the flexion/extension of the wrist joint.…”

“… 3 8 9 10) In addition, these salvage procedures could not halt the secondary arthritic changes in the radiocarpal and other joints around the wrist, despite symptomatic relief. 9 10 25 26) Radial osteotomy is a relatively simple extra-articular procedure, and surgery itself does not influence the flexion/extension of the wrist joint. In addition, other procedures involving articular structures could be attempted later period of the disease without concern for previous operation's scar adhesion.…”

“… 1 6 7) However, these procedures inevitably reduce range of motion (ROM) of the wrist joint, which is considered undesirable by many patients. 3 8 9 10) …”