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

Authors : Ali ÖZDEMİR, Musa ERGİN, Erkan Sabri ERTAŞ, Mehmet Ali ACAR

Pages : 445-450

Doi:10.54005/geneltip.1287884

View : 35 | Download : 42

Publication Date : 2023-08-31

Article Type : Research Paper

Abstract :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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(± 9);, the VAS score was 6.5 insert ignore into journalissuearticles values(±1.2, and the Mayo wrist score was 34.34 insert ignore into journalissuearticles values(±11.8);. The mean postoperative Q-Dash score was 33.1insert ignore into journalissuearticles values( ±10);, the VAS score was 2.4 insert ignore into journalissuearticles values(±1.7);, and the Mayo wrist score was 73.9 insert ignore into journalissuearticles values(±14.5);. The differences between preoperative and postoperative Q-DASH scores insert ignore into journalissuearticles values(p<0.05);, VAS scores insert ignore into journalissuearticles values(p<0.05);, and Mayo wrist scores insert ignore into journalissuearticles values(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.
Keywords : Kienböck, 4 5 ECA pedicled osseous flap, Osteonecrosis