ARTHROSCOPIC LIMITED INTERCARPAL FUSION WITH BONE GRAFT INPATIENTS WITH KIENBOCKS DISEASE

Objectives:This study aims to present our clinical results obtained in arthroscopic limited intercarpal fusion performed with use of bone graft in patients with Kienb?ck?s disease. Patients and methods:The study included 16 patients with Kienb?ck?s disease (9 males, 7 females; mean age 28.9 years; range 14 to 51 years) who were performed arthroscopic scaphocapitatefusion with or without lunate excision between January 2016 and may 2018. Bain and Begg Arthroscopic Classification was used for the staging of Kienb?ck?sdisease. Quick Disabilities of Arm, Shoulder and Hand and Mayo Wrist scorings were used for clinical evaluation Our inclusion criteria were skeletally mature patients with ulnar side wrist pain and failure of trial conservative treatment. Our exclusion criteria were skeletally immature patients, active infection of the wrist joint, pan arthritis involving all or most compartments of the wrist and rapidly progressive inflammatory arthritis at proliferative stage e.g. Rheumatoid arthritis. Results:Intercarpal fusion was achieved in approximately 6.5weeks. There was a statistically significant difference in pre- and postoperative Mayo Wrist scores and pre- and postoperative Quick Disabilities of Arm, Shoulder and Hand scores. There was no postoperative complication. Conclusion:According to our study findings, arthroscopic limited intercarpal fusion with bone graft and without lunate excision may be performed in patients with Kienb?ck?s disease. Satisfactory clinical and functional results were obtained as a result of treatment with this method in stage 3 and 4 Kienb?ck?s disease.