Arthroscopic limited intercarpal fusion without bone graft in patients with Kienböck’s disease
Kadir Ertem1, Gökay Görmeli1, Mustafa Karakaplan1, Okan Aslantürk1, Yunus Karakoç2
1Department of Orthopedics and Traumatology, Medical Faculty of İnönü University, Malatya, Turkey
2Department of Biophysics, Medical Faculty of İnönü University, Malatya, Turkey
Keywords: Arthrodesis; arthroscopy; Kienböck’s disease; midcarpal fusion; wrist.
Abstract
Objectives: This study aims to present our clinical results obtained in arthroscopic limited intercarpal fusion performed without using bone graft in patients with Kienböck’s disease.
Patients and methods: The study included 11 patients with Kienböck’s disease (6 males, 5 females; mean age 28.9 years; range 14 to 51 years) who were performed arthroscopic lunate excision and scaphocapitate fusion between November 2012 and December 2013. Bain and Begg Arthroscopic Classification was used for the staging of Kienböck’s disease. Quick Disabilities of Arm, Shoulder and Hand and Mayo Wrist scorings were used for clinical evaluation.
Results: Intercarpal fusion was achieved in approximately 7.2 weeks. There was a statistically significant difference in Mayo Wrist scores of postoperative third and sixth months and pre- and postoperative Quick Disabilities of Arm, Shoulder and Hand scores. There was no postoperative complication.
Conclusion: According to our study findings, arthroscopic limited intercarpal fusion without using bone graft may be performed in patients with Kienböck’s disease. Satisfactory clinical and functional results were obtained as a result of treatment with this method in stage 3 and 4 Kienböck’s disease.