Lunate silicone replacement arthroplasty in Kienböck's disease: A long-term follow-up
We report a long-term follow-up (average, 5 years) of 10 patients who had lunate silicone replacement arthroplasty for treatment of Kienböck's disease. Clinical results were assessed on relief of pain, return to normal occupation, and range of motion. At 18- to 20-months follow-up, eight patien...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 1990-05, Vol.15 (3), p.401-407 |
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| container_title | The Journal of hand surgery (American ed.) |
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| creator | Herbert Alexander, A. Turner, Michael A. Alexander, Charlotte E. Lichtman, David M. |
| description | We report a long-term follow-up (average, 5 years) of 10 patients who had lunate silicone replacement arthroplasty for treatment of Kienböck's disease. Clinical results were assessed on relief of pain, return to normal occupation, and range of motion. At 18- to 20-months follow-up, eight patients had satisfactory results, whereas at final follow-up only five of the patients had satisfactory results. Three of five patients with radiographs averaging 57 months after operation had evidence of particulate synovitis. Contrary to our previous publications on silicone replacement arthroplasty, it was concluded that the success rate for silicone replacement arthroplasty and the incidence of particulate synovitis do not warrant the continued use of silicone replacement arthroplasty as a primary treatment modality for Kienböck's disease. |
| doi_str_mv | 10.1016/0363-5023(90)90050-2 |
| format | Article |
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Clinical results were assessed on relief of pain, return to normal occupation, and range of motion. At 18- to 20-months follow-up, eight patients had satisfactory results, whereas at final follow-up only five of the patients had satisfactory results. Three of five patients with radiographs averaging 57 months after operation had evidence of particulate synovitis. 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Clinical results were assessed on relief of pain, return to normal occupation, and range of motion. At 18- to 20-months follow-up, eight patients had satisfactory results, whereas at final follow-up only five of the patients had satisfactory results. Three of five patients with radiographs averaging 57 months after operation had evidence of particulate synovitis. 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| identifier | ISSN: 0363-5023 |
| ispartof | The Journal of hand surgery (American ed.), 1990-05, Vol.15 (3), p.401-407 |
| issn | 0363-5023 1531-6564 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79791972 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Biological and medical sciences Diseases of the osteoarticular system Female Follow-Up Studies Humans Joint Prosthesis - adverse effects Lunate Bone - surgery Male Medical sciences Middle Aged Osteochondritis - surgery Silicones Synovitis - etiology Vascular bone diseases Wrist Joint - surgery |
| title | Lunate silicone replacement arthroplasty in Kienböck's disease: A long-term follow-up |
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