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Document Type

Original Article

Abstract

Bachground - Kienböck’s disease is avscular-necrosis wrist condition in addition to osteo-necrosis, lunato-malacia or ischemic-necorotic of the lunate bone. According to Lichtman in 2010, determine the 3rd stage C (III C) of Kienböck’s disease which characterized by chronic-coronal-fracture of lunate bone. Aim - to study scaphocapitate with lunate excision fusion for symptomatic IIIC Kienböck’s disease with short-time follow-up. Patients and Methods - A retrospective study included 20 patients conducted in a 60 months duration, the period from January 2017 to January 2022 in orthopedic department of Al-Hussein Hospitals, Al-Azhar University with post-operative short-time 6 months follow-up. Results - Our findings revealed that; Mean flexion range of operated side was non-significant increased to 47.6±7.9 (25-40) and extension range 58.5±10 (55-69)°. postoperative Dash score postoperative, the lowest represent 25 while the highest represent 33 P value 0.05. Conclusion - Scaphoapitate fusion with lunate excision has the potential to become a widely used surgical option for patients of advanced IIIC Kienböck’s disease.

Keywords

Scaphocapitate Fusion; Lunate Excision; Kienböck’s Disease; DASH Score; Radiographic Outcomes

Subject Area

Orthopedics

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