Scientific articleTreatment of Advanced-Stage Kienböck's Disease With Proximal Row Carpectomy: An Average 15-Year Follow-Up
Section snippets
Materials and Methods
Seventeen patients were identified that had a PRC for stage III Kienböck's disease with a minimum 10-year follow-up. This cohort included all patients previously reviewed in the senior author's original paper.15 However, we were unable to make direct comparisons from this study to the previously published work, as all previous raw data and individual patient results could not be located. The senior author performed all the surgeries from 1982 to 1991. The records and radiographs of these
Results
Follow-up averaged 15 years (range, 11–20 years). All 13 patients were available for physical examination and objective measurements. Corresponding preoperative measurements were available on 11 of 13 patients. Preoperative radiographs were available on only 3 patients because our institution only keeps radiographs for 7 years. Eleven of 13 patients obtained postoperative radiographs. Patient 12 had bilateral Kienböck's disease (Fig. 1). Proximal row carpectomy was performed on the dominant
Discussion
Since its original description by Stamm, PRC has been successfully used to treat a variety of disorders of the carpus.26 Numerous authors have reported successes using PRC for Kienböck's disease and other carpal disorders.2, 3, 15, 17, 18, 19, 20, 21, 22, 23, 26, 27, 28, 29, 30 However, many still mention it together with wrist arthrodesis as one of the “salvage operations.”1, 31, 32 Review of the literature yields few long-term reports (minimum of 10 years average follow-up) on use of PRC for
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2022, Journal of Hand SurgeryCitation Excerpt :Previous long-term follow-up studies of PRC patents have shown consequently favorable PROMs.7–9 However, based on previous research on the long-term outcomes of PRC, we also expect a rise in the rate of conversion to wrist arthrodesis.7,23,27,30 The datasets and programming code used and/or analyzed during the study are available from the corresponding author on reasonable request.
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