[Treatment of Kienböck's disease using a pyrocarbon implant: case report].

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Abstract

We report on two patients with advanced Kienböck's disease (Lichtman IIIa and IIIb) who underwent surgical treatment in which the lunate was replaced by a pyrocarbon implant. At a mean follow-up of 3 years, the average VAS pain score was 1 and the average DASH was 11.5. There were no changes in range of motion after surgery and the average grip strength was 76.5% of the contralateral side. X-rays showed no disease progression. These encouraging preliminary results have led us to suggest replacing the lunate with a pyrocarbon implant in a greater number of patients with advanced Kienböck's disease.

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Journal

Journal ID (iso-abbrev): Chir Main

Title: Chirurgie de la main

Publisher: Elsevier BV

ISSN (Electronic): 1769-6666

ISSN (Print): 1297-3203

Publication date (Electronic): Dec 2014

Volume: 33

Issue: 6

Affiliations

[1 ] Service de chirurgie orthopédique et de traumatologie, université Paris-Diderot, hôpital Bichat, Assistance publique-Hôpitaux de Paris, GHU Paris-Nord, 46, rue Henri-Huchard, 75018 Paris, France.

[2 ] Service de radiologie, université Paris-Diderot, hôpital Bichat, Assistance publique-Hôpitaux de Paris, GHU Paris-Nord, 46, rue Henri-Huchard, 75018 Paris, France.

[3 ] Service de chirurgie orthopédique et de traumatologie, université Paris-Diderot, hôpital Bichat, Assistance publique-Hôpitaux de Paris, GHU Paris-Nord, 46, rue Henri-Huchard, 75018 Paris, France. Electronic address: philippeloriaut@hotmail.com.

Article

Publisher Item ID: S1297-3203(14)00134-6

DOI: 10.1016/j.main.2014.09.002

PubMed ID: 25304449

SO-VID: 420270f9-7b2a-4ab3-b78c-688586cd30f0

History

Keywords: Maladie de Kienböck,Kienböck's disease,Lunate,Lunatum,Poignet,Pyrocarbon implant,Pyrocarbone,Wrist,Arthroplastie,Arthroplasty,Interposition

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Keywords: Maladie de Kienböck, Kienböck's disease, Lunate, Lunatum, Poignet, Pyrocarbon implant, Pyrocarbone, Wrist, Arthroplastie, Arthroplasty, Interposition

[Treatment of Kienböck's disease using a pyrocarbon implant: case report].

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SICOT-J (Orthopedic surgery and traumatology)

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