The Triscaphe fusion in Kienbocks Disease

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Journal of the Korean Society for Surgery of the Hand 1996;1(1):74-82.
Published online January 1, 1996.

Eun Sun Moon,Inn Soo Rhym,Jae Hyung Park

Kienbock 씨 질환에서 삼중주상골 유합술에 의한 치료

문은선,임인수,박재형

Abstract

Kienbock's disease remains a difficult problem to treat because of a complex, propessive mechanical deterioration. Triscaphe fusion has proved in the treatment of Kienbock's disease. It provides a full- powered support column for wrist load transference. The purpose of this study is to analyze the effectiveness of triscaphe fusion in the treatment of Kienbock's disease. We experienced 14 cases of stage III(IIIA 5, IIIB 9) Kienbock's disease by Lichtman classification, which were treated with triscaphe fusion from September, 1989 to December, 1994. l. After an average follow-up of 35 months, relief of pain was satisfactory in all 14 patients. But, intermittent swelling was noted in 3 patients. 2. All patients had an increase in ROM of their affected wrist cormpared with a severely limited preoperative ROM except radial deviation. 3. Roentgenographic indicator(carpal height ratio, carpo-ulnar distance ratio and lunate index) was improved at latest follow-up. 4. There was neither pseodoarthrosis nor surgical infection. 5. The results for 14 patiets were considered satisfactory based on criteria of Lichtman. We could recommend believe that triscaphe fusion was one of attractive option in the treatment of stage III Kienbock's disease.

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