Araştırma Makalesi
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Yıl 2023, Cilt: 33 Sayı: 4, 445 - 450, 31.08.2023
https://doi.org/10.54005/geneltip.1287884

Öz

Kaynakça

  • Keith PP, Nuttall D, Trail I. Long-term outcome of nonsurgically managed Kienböck’s disease. The Journal of hand surgery. 2004;29(1):63-7.
  • Kakar S, Shin A. Vascularized bone grafting from the dorsal distal radius for Kienböck's disease: technique, indications and review of the literature. Chirurgie de la main. 2010;29:S104-S11.
  • Wagner JP, Chung KCJTJohs. A historical report on Robert Kienböck (1871–1953) and Kienböck’s disease. 2005;30(6):1117-21.
  • Gelderman R, Salamon P, Jurist J, Posch J. Ulnar variance in Kienbock's disease. J Bone Joint Surg[Am]. 1975;57:674.
  • Lichtman DM, Degnan GG. Staging and its use in the determination of treatment modalities for Kienböck's disease. Hand clinics. 1993;9(3):409-16.
  • GELBERMAN RH, GROSS MSJCO, Research R. The Vascularity of the Wrist: Identification of Arterial Patterns at Risk. 1986;202:40-9.
  • Özden E, Özçelik İB. Comparison of Clinical Outcomes in Open and Arthroscopically-assisted Mini Open Proximal Row Carpectomy for Lichtman Stage IIIB and IIIC Kienböck Disease. The Journal of Hand Surgery. 2022.
  • de Villeneuve Bargemon J-B, Peras M, Hasegawa H, Levadoux M. Arthroscopic Scaphocapitate Fusion: Surgical Technique. Arthroscopy Techniques. 2022;11(7):e1289-e94.
  • Rodríguez-Nogué L, Martínez-Villén G. Results of the total wrist arthrodesis with contoured plate in a series of 41 wrists with median follow-up of 6 years. Acta Orthopædica Belgica. 2022;88:636-41.
  • Woo S-H, Kim S-M, Ahn Y-S, Hyun J-H, Kim H-Y, Kim M-S. Combined radial wedge and shortening osteotomy versus scaphocapitate arthrodesis in advanced Kienböck’s disease. Acta Orthopædica Belgica. 2022;88:739-47.
  • Matsui Y. Surgical Treatments: Capitate Shortening Osteotomy. Introduction to Kienböck’s Disease: Basic Science, Diagnosis and Treatment: Springer; 2023. p. 97-102.
  • Park I-J, Kim H-M, Lee J-Y, Roh Y-T, Kim D-Y, Jeon N-H, et al. Treatment of Kienböck's disease using a fourth extensor compartmental artery as a vascularized pedicle bone graft. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2016;69(10):1403-10.
  • Tsantes AG, Papadopoulos DV, Gelalis ID, Vekris MD, Pakos EE, Korompilias AVJJoh, et al. The efficacy of vascularized bone grafts in the treatment of scaphoid nonunions and Kienbock disease: a systematic review in 917 patients. 2019;11(01):006-13.
  • Ye X, Feng J-T, Yin H-W, Qiu Y-Q, Shen Y-D, Xu W-DJHS, et al. Use of 4+ 5 extensor compartmental vascularized bone graft and K-wire fixation for treating stage II-IIIA Kienböck's disease. 2020;39(3):207-13.
  • Moran SL, Cooney WP, Berger RA, Bishop AT, Shin AYJTJohs. The use of the 4+ 5 extensor compartmental vascularized bone graft for the treatment of Kienböck’s disease. 2005;30(1):50-8.
  • CHUNG U-S, KIM K-C, LEE K-HJJotKSfSotH. 4+ 5 Extensor Compartmental Vascularized Bone Graft for Stage III Kienbock's Disease: Preliminary Results. 2009:6-11.

The Efficacy of Surgical Treatment for Kienböck’s Disease with 4-5 ECA Pedicled Osseous Flap: A Retrospective Study

Yıl 2023, Cilt: 33 Sayı: 4, 445 - 450, 31.08.2023
https://doi.org/10.54005/geneltip.1287884

Öz

Aim: The aim of this retrospective study is to assess the effectiveness of surgical intervention for Kienböck's disease using 4-5 Extensor Compartmental Artery (4-5 ECA) pedicled osseous flap
Method: Patients who underwent 4-5 ECA pedicled bone grafts for Kienböck's disease between January 2012 and January 2022 were included in the study. The patient files were analyzed retrospectively for age, gender, follow-up time, and complications. Disease staging was performed preoperatively using direct X-ray and MRI, and radiological improvement was evaluated postoperatively using radiography. The functional and clinical assessment was made by comparing preoperative and postoperative VAS, Q-Dash, and Mayo scores.
Results: This study involved 23 patients (12 female and 11 male) with Kienböck's disease who underwent 4-5 ECA pedicled bone graft surgery. 13 cases were right-handed while 10 were left-handed. The mean age was 37.5 ± 12.5 years, and the mean follow-up time was 68 months. The mean preoperative Q-Dash score was 78.8 (± 9), the VAS score was 6.5 (±1.2, and the Mayo wrist score was 34.34 (±11.8). The mean postoperative Q-Dash score was 33.1( ±10), the VAS score was 2.4 (±1.7), and the Mayo wrist score was 73.9 (±14.5). The differences between preoperative and postoperative Q-DASH scores (p<0.05), VAS scores (p<0.05), and Mayo wrist scores (p<0.05) were statistically significantly improved. Disease progression was observed in only two patients based on the Lichtman Classification in their follow-up radiographs.
Conclusion: Our study demonstrates that the surgical treatment of Kienböck's disease using a 4-5 ECA pedicled osseous flap is a reliable and effective surgical treatment option.

Kaynakça

  • Keith PP, Nuttall D, Trail I. Long-term outcome of nonsurgically managed Kienböck’s disease. The Journal of hand surgery. 2004;29(1):63-7.
  • Kakar S, Shin A. Vascularized bone grafting from the dorsal distal radius for Kienböck's disease: technique, indications and review of the literature. Chirurgie de la main. 2010;29:S104-S11.
  • Wagner JP, Chung KCJTJohs. A historical report on Robert Kienböck (1871–1953) and Kienböck’s disease. 2005;30(6):1117-21.
  • Gelderman R, Salamon P, Jurist J, Posch J. Ulnar variance in Kienbock's disease. J Bone Joint Surg[Am]. 1975;57:674.
  • Lichtman DM, Degnan GG. Staging and its use in the determination of treatment modalities for Kienböck's disease. Hand clinics. 1993;9(3):409-16.
  • GELBERMAN RH, GROSS MSJCO, Research R. The Vascularity of the Wrist: Identification of Arterial Patterns at Risk. 1986;202:40-9.
  • Özden E, Özçelik İB. Comparison of Clinical Outcomes in Open and Arthroscopically-assisted Mini Open Proximal Row Carpectomy for Lichtman Stage IIIB and IIIC Kienböck Disease. The Journal of Hand Surgery. 2022.
  • de Villeneuve Bargemon J-B, Peras M, Hasegawa H, Levadoux M. Arthroscopic Scaphocapitate Fusion: Surgical Technique. Arthroscopy Techniques. 2022;11(7):e1289-e94.
  • Rodríguez-Nogué L, Martínez-Villén G. Results of the total wrist arthrodesis with contoured plate in a series of 41 wrists with median follow-up of 6 years. Acta Orthopædica Belgica. 2022;88:636-41.
  • Woo S-H, Kim S-M, Ahn Y-S, Hyun J-H, Kim H-Y, Kim M-S. Combined radial wedge and shortening osteotomy versus scaphocapitate arthrodesis in advanced Kienböck’s disease. Acta Orthopædica Belgica. 2022;88:739-47.
  • Matsui Y. Surgical Treatments: Capitate Shortening Osteotomy. Introduction to Kienböck’s Disease: Basic Science, Diagnosis and Treatment: Springer; 2023. p. 97-102.
  • Park I-J, Kim H-M, Lee J-Y, Roh Y-T, Kim D-Y, Jeon N-H, et al. Treatment of Kienböck's disease using a fourth extensor compartmental artery as a vascularized pedicle bone graft. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2016;69(10):1403-10.
  • Tsantes AG, Papadopoulos DV, Gelalis ID, Vekris MD, Pakos EE, Korompilias AVJJoh, et al. The efficacy of vascularized bone grafts in the treatment of scaphoid nonunions and Kienbock disease: a systematic review in 917 patients. 2019;11(01):006-13.
  • Ye X, Feng J-T, Yin H-W, Qiu Y-Q, Shen Y-D, Xu W-DJHS, et al. Use of 4+ 5 extensor compartmental vascularized bone graft and K-wire fixation for treating stage II-IIIA Kienböck's disease. 2020;39(3):207-13.
  • Moran SL, Cooney WP, Berger RA, Bishop AT, Shin AYJTJohs. The use of the 4+ 5 extensor compartmental vascularized bone graft for the treatment of Kienböck’s disease. 2005;30(1):50-8.
  • CHUNG U-S, KIM K-C, LEE K-HJJotKSfSotH. 4+ 5 Extensor Compartmental Vascularized Bone Graft for Stage III Kienbock's Disease: Preliminary Results. 2009:6-11.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Ali Özdemir 0000-0002-8835-9741

Musa Ergin Bu kişi benim 0000-0002-8690-6115

Erkan Sabri Ertaş 0000-0002-3108-3297

Mehmet Ali Acar 0000-0003-2701-4923

Erken Görünüm Tarihi 29 Ağustos 2023
Yayımlanma Tarihi 31 Ağustos 2023
Gönderilme Tarihi 26 Nisan 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 33 Sayı: 4

Kaynak Göster

Vancouver Özdemir A, Ergin M, Ertaş ES, Acar MA. The Efficacy of Surgical Treatment for Kienböck’s Disease with 4-5 ECA Pedicled Osseous Flap: A Retrospective Study. Genel Tıp Derg. 2023;33(4):445-50.