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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: STT arthrodesis versus proximal row carpectomy for Lichtman stage IIIB Kienböck's disease: first results of an ongoing observational study.
    Author: Hohendorff B, Mühldorfer-Fodor M, Kalb K, van Schoonhoven J, Prommersberger KJ.
    Journal: Arch Orthop Trauma Surg; 2012 Sep; 132(9):1327-34. PubMed ID: 22695760.
    Abstract:
    INTRODUCTION: Scapho-trapezial-trapezoidal (STT) arthrodesis and proximal row carpectomy (PRC) are used for the treatment of Lichtman stage IIIB Kienböck's disease. This study prospectively compares 1-year results of STT arthrodesis and PRC in Lichtman stage IIIB Kienböck's disease. MATERIALS AND METHODS: Nineteen patients were operated: eight with STT arthrodesis and 11 with PRC. Preoperatively and 1-year postoperatively, mobility and grip strength were examined. Both DASH and Mayo Wrist Scores were obtained from the patients. RESULTS: In the STT arthrodesis group, mean extension/flexion worsened from 54 to 39 % of the opposite hand. Grip strength improved from 52.9 to 62.1 %. The DASH Score improved from 32.6 to 21.4, and the Mayo Wrist Score from 50.6 to 57.9. In the PRC group, extension/flexion decreased from 62.5 to 57.0 % of the opposite hand. Grip strength improved from 38.6 to 69.0 %, the DASH Score from 36.7 to 18.9, and the Mayo Wrist Score from 54.6 to 66.0. CONCLUSION: One year after operation, slightly better results were observed in patients with PRC compared to STT arthrodesis.
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