Use of 4+5 extensor compartmental vascularized bone graft and K-wire fixation for treating stage II-IIIA Kienböck's disease
Vascularized bone grafts have shown favorable outcomes in Kienböck's disease, preventing the progression of lunate collapse and avascular necrosis. Here we describe our experience using a 4+5 extensor compartmental artery (ECA) vascularized bone graft combined with K-wire fixation. Between Sept...
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| Veröffentlicht in: | Hand surgery and rehabilitation 2020-05, Vol.39 (3), p.207-213 |
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| creator | Ye, X. Feng, J.-T. Yin, H.-W. Qiu, Y.-Q. Shen, Y.-D. Xu, W.-D. |
| description | Vascularized bone grafts have shown favorable outcomes in Kienböck's disease, preventing the progression of lunate collapse and avascular necrosis. Here we describe our experience using a 4+5 extensor compartmental artery (ECA) vascularized bone graft combined with K-wire fixation. Between September 2010 and June 2013, 9 patients with Lichtman stage II-IIIA disease underwent arthroscopy prior to 4+5 ECA graft placement combined with temporary fixation (scaphocapitate and triquetrum-capitate joints). The average follow-up was 69 months (range, 51–92 months). Changes in pain, range of motion, grip strength, and pinch strength were analyzed. All patients had satisfactory recovery, especially pain relief and grip strength improvement (both P |
| doi_str_mv | 10.1016/j.hansur.2020.01.005 |
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La greffe osseuse vascularisée a montré des résultats favorables dans la maladie de Kienböck, empêchant la progression de l’effondrement du lunatum et de la nécrose avasculaire. Nous rapportons notre expérience de la greffe vascularisée par l’artère des compartiments 4-5 des extenseurs (AC45E) associée à la fixation par broche de Kirschner. Entre septembre 2010 et juin 2013, 9 patients atteints d’un stade II-IIIA de Lichtman ont subi une arthroscopie avant la réalisation d’une greffe de l’ACE45 combinée à une fixation temporaire (fixations scapho-capitale et triquétro-capitale). La durée moyenne de suivi était de 69 mois (51–92 mois). Les changements dans le score de la douleur, l’amplitude des mouvements, la force de poigne et la force de pince ont été analysés. Tous les patients ont eu une évolution satisfaisante, particulièrement sur le soulagement des douleur et l’amélioration de force de poigne (p<0,01 pour tous les deux). En outre, l’imagerie par résonance magnétique était importante pour surveiller la revascularisation du lunatum, particulièrement dans la période postopératoire précoce.</description><identifier>ISSN: 2468-1229</identifier><identifier>EISSN: 2468-1210</identifier><identifier>DOI: 10.1016/j.hansur.2020.01.005</identifier><identifier>PMID: 32070791</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>4 + 5 extensor compartmental artery ; Artère des compartiments 4-5 des extenseurs ; Capitate Bone - surgery ; Decompression ; Décompression ; Fixation par broche de Kirschner ; Follow-Up Studies ; Greffe osseuse vascularisée ; Humans ; K-wire fixation ; Kienböck's disease ; Lunate Bone - surgery ; Maladie de Kienböck ; Osteonecrosis - surgery ; Pain ; Vascularized bone graft</subject><ispartof>Hand surgery and rehabilitation, 2020-05, Vol.39 (3), p.207-213</ispartof><rights>2020 SFCM</rights><rights>Copyright © 2020 SFCM. Published by Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-d1a0b735c03580741a3f0ef8a18f532a93f1a31822a5719ddd46467df384e9573</citedby><cites>FETCH-LOGICAL-c362t-d1a0b735c03580741a3f0ef8a18f532a93f1a31822a5719ddd46467df384e9573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32070791$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ye, X.</creatorcontrib><creatorcontrib>Feng, J.-T.</creatorcontrib><creatorcontrib>Yin, H.-W.</creatorcontrib><creatorcontrib>Qiu, Y.-Q.</creatorcontrib><creatorcontrib>Shen, Y.-D.</creatorcontrib><creatorcontrib>Xu, W.-D.</creatorcontrib><title>Use of 4+5 extensor compartmental vascularized bone graft and K-wire fixation for treating stage II-IIIA Kienböck's disease</title><title>Hand surgery and rehabilitation</title><addtitle>Hand Surg Rehabil</addtitle><description>Vascularized bone grafts have shown favorable outcomes in Kienböck's disease, preventing the progression of lunate collapse and avascular necrosis. Here we describe our experience using a 4+5 extensor compartmental artery (ECA) vascularized bone graft combined with K-wire fixation. Between September 2010 and June 2013, 9 patients with Lichtman stage II-IIIA disease underwent arthroscopy prior to 4+5 ECA graft placement combined with temporary fixation (scaphocapitate and triquetrum-capitate joints). The average follow-up was 69 months (range, 51–92 months). Changes in pain, range of motion, grip strength, and pinch strength were analyzed. All patients had satisfactory recovery, especially pain relief and grip strength improvement (both P<0.01). Furthermore, magnetic resonance imaging follow-up was critical for monitoring lunate revascularization, especially in the early postoperative period.
La greffe osseuse vascularisée a montré des résultats favorables dans la maladie de Kienböck, empêchant la progression de l’effondrement du lunatum et de la nécrose avasculaire. Nous rapportons notre expérience de la greffe vascularisée par l’artère des compartiments 4-5 des extenseurs (AC45E) associée à la fixation par broche de Kirschner. Entre septembre 2010 et juin 2013, 9 patients atteints d’un stade II-IIIA de Lichtman ont subi une arthroscopie avant la réalisation d’une greffe de l’ACE45 combinée à une fixation temporaire (fixations scapho-capitale et triquétro-capitale). La durée moyenne de suivi était de 69 mois (51–92 mois). Les changements dans le score de la douleur, l’amplitude des mouvements, la force de poigne et la force de pince ont été analysés. Tous les patients ont eu une évolution satisfaisante, particulièrement sur le soulagement des douleur et l’amélioration de force de poigne (p<0,01 pour tous les deux). En outre, l’imagerie par résonance magnétique était importante pour surveiller la revascularisation du lunatum, particulièrement dans la période postopératoire précoce.</description><subject>4 + 5 extensor compartmental artery</subject><subject>Artère des compartiments 4-5 des extenseurs</subject><subject>Capitate Bone - surgery</subject><subject>Decompression</subject><subject>Décompression</subject><subject>Fixation par broche de Kirschner</subject><subject>Follow-Up Studies</subject><subject>Greffe osseuse vascularisée</subject><subject>Humans</subject><subject>K-wire fixation</subject><subject>Kienböck's disease</subject><subject>Lunate Bone - surgery</subject><subject>Maladie de Kienböck</subject><subject>Osteonecrosis - surgery</subject><subject>Pain</subject><subject>Vascularized bone graft</subject><issn>2468-1229</issn><issn>2468-1210</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kNtqFTEUhoMottS-gUjuFGTGHOZ4I5RidWjBG3sd1k5WttnOJNskU2vxuXwBX8yUXXvp1Trw_2vxf4S85KzmjHfvdvVX8GmNtWCC1YzXjLVPyLFouqHigrOnj70Yj8hpSjvGiq_nY9s_J0dSsJ71Iz8mv64T0mBp87aleJvRpxCpDsseYl7QZ5jpDSS9zhDdHRq6CR7pNoLNFLyhl9UPF5FadwvZBU9tceeIZfBbmjJskU5TNU3TGb106Dd_futvrxM1LiEkfEGeWZgTnj7UE3J98eHL-afq6vPH6fzsqtKyE7kyHNiml61msh1Y33CQlqEdgA-2lQJGacuKD0JAWxIaY5qu6Xpj5dBgCSxPyJvD3X0M31dMWS0uaZxn8BjWpES52w5iGMcibQ5SHUNKEa3aR7dA_Kk4U_fo1U4d0Kt79IpxVdAX26uHD-tmQfNo-ge6CN4fBFhy3jiMKukCRKMp_HRWJrj_f_gLAieWqw</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Ye, X.</creator><creator>Feng, J.-T.</creator><creator>Yin, H.-W.</creator><creator>Qiu, Y.-Q.</creator><creator>Shen, Y.-D.</creator><creator>Xu, W.-D.</creator><general>Elsevier Masson SAS</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202005</creationdate><title>Use of 4+5 extensor compartmental vascularized bone graft and K-wire fixation for treating stage II-IIIA Kienböck's disease</title><author>Ye, X. ; Feng, J.-T. ; Yin, H.-W. ; Qiu, Y.-Q. ; Shen, Y.-D. ; Xu, W.-D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-d1a0b735c03580741a3f0ef8a18f532a93f1a31822a5719ddd46467df384e9573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>4 + 5 extensor compartmental artery</topic><topic>Artère des compartiments 4-5 des extenseurs</topic><topic>Capitate Bone - surgery</topic><topic>Decompression</topic><topic>Décompression</topic><topic>Fixation par broche de Kirschner</topic><topic>Follow-Up Studies</topic><topic>Greffe osseuse vascularisée</topic><topic>Humans</topic><topic>K-wire fixation</topic><topic>Kienböck's disease</topic><topic>Lunate Bone - surgery</topic><topic>Maladie de Kienböck</topic><topic>Osteonecrosis - surgery</topic><topic>Pain</topic><topic>Vascularized bone graft</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ye, X.</creatorcontrib><creatorcontrib>Feng, J.-T.</creatorcontrib><creatorcontrib>Yin, H.-W.</creatorcontrib><creatorcontrib>Qiu, Y.-Q.</creatorcontrib><creatorcontrib>Shen, Y.-D.</creatorcontrib><creatorcontrib>Xu, W.-D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hand surgery and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ye, X.</au><au>Feng, J.-T.</au><au>Yin, H.-W.</au><au>Qiu, Y.-Q.</au><au>Shen, Y.-D.</au><au>Xu, W.-D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of 4+5 extensor compartmental vascularized bone graft and K-wire fixation for treating stage II-IIIA Kienböck's disease</atitle><jtitle>Hand surgery and rehabilitation</jtitle><addtitle>Hand Surg Rehabil</addtitle><date>2020-05</date><risdate>2020</risdate><volume>39</volume><issue>3</issue><spage>207</spage><epage>213</epage><pages>207-213</pages><issn>2468-1229</issn><eissn>2468-1210</eissn><abstract>Vascularized bone grafts have shown favorable outcomes in Kienböck's disease, preventing the progression of lunate collapse and avascular necrosis. Here we describe our experience using a 4+5 extensor compartmental artery (ECA) vascularized bone graft combined with K-wire fixation. Between September 2010 and June 2013, 9 patients with Lichtman stage II-IIIA disease underwent arthroscopy prior to 4+5 ECA graft placement combined with temporary fixation (scaphocapitate and triquetrum-capitate joints). The average follow-up was 69 months (range, 51–92 months). Changes in pain, range of motion, grip strength, and pinch strength were analyzed. All patients had satisfactory recovery, especially pain relief and grip strength improvement (both P<0.01). Furthermore, magnetic resonance imaging follow-up was critical for monitoring lunate revascularization, especially in the early postoperative period.
La greffe osseuse vascularisée a montré des résultats favorables dans la maladie de Kienböck, empêchant la progression de l’effondrement du lunatum et de la nécrose avasculaire. Nous rapportons notre expérience de la greffe vascularisée par l’artère des compartiments 4-5 des extenseurs (AC45E) associée à la fixation par broche de Kirschner. Entre septembre 2010 et juin 2013, 9 patients atteints d’un stade II-IIIA de Lichtman ont subi une arthroscopie avant la réalisation d’une greffe de l’ACE45 combinée à une fixation temporaire (fixations scapho-capitale et triquétro-capitale). La durée moyenne de suivi était de 69 mois (51–92 mois). Les changements dans le score de la douleur, l’amplitude des mouvements, la force de poigne et la force de pince ont été analysés. Tous les patients ont eu une évolution satisfaisante, particulièrement sur le soulagement des douleur et l’amélioration de force de poigne (p<0,01 pour tous les deux). En outre, l’imagerie par résonance magnétique était importante pour surveiller la revascularisation du lunatum, particulièrement dans la période postopératoire précoce.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>32070791</pmid><doi>10.1016/j.hansur.2020.01.005</doi><tpages>7</tpages></addata></record> |
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| ispartof | Hand surgery and rehabilitation, 2020-05, Vol.39 (3), p.207-213 |
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| subjects | 4 + 5 extensor compartmental artery Artère des compartiments 4-5 des extenseurs Capitate Bone - surgery Decompression Décompression Fixation par broche de Kirschner Follow-Up Studies Greffe osseuse vascularisée Humans K-wire fixation Kienböck's disease Lunate Bone - surgery Maladie de Kienböck Osteonecrosis - surgery Pain Vascularized bone graft |
| title | Use of 4+5 extensor compartmental vascularized bone graft and K-wire fixation for treating stage II-IIIA Kienböck's disease |
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