Polycarbon lunate replacements perform well at 2 years: A retrospective case series and technique from two UK tertiary centres.

dc.contributor.authorAlao, Uthman
dc.contributor.authorBodansky, David
dc.contributor.authorHajipour, Ladan
dc.contributor.authorHayton, Mike
dc.contributor.authorTalwalkar, Sumedh
dc.date.accessioned2023-08-22T10:42:34Z
dc.date.available2023-08-22T10:42:34Z
dc.date.issued21/12/2022
dc.description.abstractBackground: We report medium-term results in our case series of patients with Kienböck disease receiving a pyrocarbon lunate replacement (Integra, Smith and Nephew, Watford, UK). Methods: Patients with Kienböck receiving a pyrocarbon lunate between September 2012 and November 2020, with stage 3b and above were included. Patients were staged preoperatively with radiographs and MRIs. Pre- and postoperative visual analogue scores and movement were documented. Postoperative radiographs were obtained at 6 weeks, 6 months and 1 year. Results: Seven patients were identified, all female, with a median age of 28.0 years. All but one had 3b disease and the median follow-up was 2 years (range 13-112 months). A mean 9/10 preoperative VAS score improved to 1/10 by 3 months postoperatively (p < 0.001, paired t-test). No major complications were seen, and implants were stable radiologically. Conclusions: A semi-constrained pyrocarbon lunate can provide good results for patients with advanced Kienböck's disease, offering an alternative to proximal row carpectomy salvage surgery. Level of Evidence: Level IV (Therapeutic).
dc.identifier.citationJ Hand Surg Asian Pac vol. 2022 Dec;27(6):1008-1012
dc.identifier.doi10.1142/S2424835522500965.
dc.identifier.scopusTalwalkar, Sumedh C. - Author details - Scopus Preview
dc.identifier.scopusHayton, Michael John - Author details - Scopus Preview
dc.identifier.scopusBodansky, David Maxwell Sterling - Author details - Scopus Preview
dc.identifier.urihttps://wwl.dspace-express.com/handle/20.500.13063/70
dc.language.isoen
dc.publisherWorld Scientific
dc.subjectKienbock DiseaseEN
dc.subjectLunateEN
dc.titlePolycarbon lunate replacements perform well at 2 years: A retrospective case series and technique from two UK tertiary centres.
dc.typeArticle
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