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Case Reports
. 2014 Dec;33(6):404-9.
doi: 10.1016/j.main.2014.09.002. Epub 2014 Sep 24.

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

[Article in French]
J D Werthel  1 , D Vu Hoang  1 , P Boyer  1 , B Dallaudière  2 , P Massin  1 , P Loriaut  3
Affiliations
Case Reports

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

[Article in French]
J D Werthel et al. Chir Main. 2014 Dec.

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.

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

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