{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T09:34:57Z","timestamp":1791020097147,"version":"4.1.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Different treatment options exist for the late-stage Kienb\u00f6ck disease (KD). The functional outcomes of patients undergoing scaphocapitate fusion (SCF), tendon ball arthroplasty (TBA), and radius metaphyseal core decompression in stages 3 to 4 KD were investigated.<\/jats:p>\n                  <jats:p>This is a retrospective study spanning \u223c11 years, conducted at our clinic, involving the operated patient KD. The study included 51 patients with an average follow-up duration of 68 months (range: 16\u2013130 months). Patients who underwent SCF, TBA, and radius metaphyseal core decompression were divided into three groups based on the surgical approach. The range of motion of the wrist joint and grip strength of the operated wrists were assessed alongside the unaffected wrist during follow-up evaluations. Satisfaction levels among patients were measured by comparing groups internally and based on disease stages. Functional outcomes were evaluated using quick disabilities of the arm, shoulder, and hand (Q-DASH) and Mayo wrist scoring scales.<\/jats:p>\n                  <jats:p>Of the patients, 28 were female (54.9%) and 23 were male (45.1%). The mean age was 34 years (range: 19\u201362 years). There were 12 patients (23.53%) in the radial decompression group, 10 patients (19.61%) in the SCF group, and 29 patients (56.86%) in the TBA group. When the wrist joint Range of motion (ROM)s are analyzed, the losses in both stages 3A and 3B disease are significant compared with the intact wrist in all three surgical methods. When the groups were compared, a higher loss of wrist joint ROM was observed in the TBA group, especially in Kienb\u00f6ck stage 3B patients (p\u2009&lt;\u20090.001). Furthermore, there were no differences between patient scores in stage 3A when assessments were made using Q-DASH and Mayo scores (p\u2009=\u20090.156 for Q-DASH and p\u2009=\u20090.060 for Mayo). In stage 3B, Mayo's results were similar, while the radial decompression group was reported to be more favorable in terms of Q-DASH scores (p\u2009=\u20090.035).<\/jats:p>\n                  <jats:p>KD is surgically treated with various operations identified. In terms of functional outcomes, all three surgeries are considered satisfactory. However, in young and active patients, even in advanced stages of the disease, metaphyseal core decompression should be attempted as an initial treatment due to its easier approach and the avoidance of direct manipulation of the carpus.<\/jats:p>","DOI":"10.1055\/a-2522-9198","type":"journal-article","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:24:26Z","timestamp":1740165866000},"page":"e7-e13","source":"Crossref","is-referenced-by-count":2,"title":["A Comparison of Three Different Surgical Treatments in Late Stage Kienb\u00f6ck's Disease"],"prefix":"10.1055","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7230-3030","authenticated-orcid":false,"given":"Ferdi","family":"\u00d6zdemir","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Bursa City Hospital, Bursa, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4437-9860","authenticated-orcid":false,"given":"H\u00fcseyin Utku","family":"\u00d6zde\u015f","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, \u0130n\u00f6n\u00fc University, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9035-0319","authenticated-orcid":false,"given":"Mustafa","family":"Karakaplan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, \u0130n\u00f6n\u00fc University, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6452-2401","authenticated-orcid":false,"given":"Emre","family":"Ergen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, \u0130n\u00f6n\u00fc University, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6167-3952","authenticated-orcid":false,"given":"Okan","family":"Aslant\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, \u0130n\u00f6n\u00fc University, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3805-9214","authenticated-orcid":false,"given":"\u0130pek","family":"Bal\u0131k\u00e7\u0131 \u00c7i\u00e7ek","sequence":"additional","affiliation":[{"name":"Basic Medical Sciences, Biostatistics and Medical Informatics, Faculty of Medicine, Inonu University, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8892-494X","authenticated-orcid":false,"given":"Kadir","family":"Ertem","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, \u0130n\u00f6n\u00fc University, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,2,21]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"103161","DOI":"10.1016\/j.otsr.2021.103161","article-title":"Kienb\u00f6ck's disease in 2021","volume":"108","author":"E J Camus","year":"2022","journal-title":"Orthop Traumatol Surg Res"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.hcl.2022.03.003","article-title":"The pathoanatomy and biomechanics of Kienb\u00f6ck disease","volume":"38","author":"S BM MacLean","year":"2022","journal-title":"Hand Clin"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/BTH.0b013e3182107329","article-title":"Etiology of Kienb\u00f6ck disease","volume":"15","author":"A Lluch","year":"2011","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"09","key":"ref4","doi-asserted-by":"crossref","first-page":"1942","DOI":"10.1016\/j.jhsa.2012.06.029","article-title":"Kienb\u00f6ck disease","volume":"37","author":"K Lutsky","year":"2012","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/S0749-0712(21)01262-2","article-title":"Staging and its use in the determination of treatment modalities for Kienb\u00f6ck's disease","volume":"9","author":"D M Lichtman","year":"1993","journal-title":"Hand Clin"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1142\/S0218810415400079","article-title":"Kienb\u00f6ck disease: recent advances in the basic science, assessment and treatment","volume":"20","author":"G I Bain","year":"2015","journal-title":"Hand Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"664","DOI":"10.3390\/jcm11030664","article-title":"Recent advances in assessment and 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(Hong Kong)"},{"key":"ref11","first-page":"223","article-title":"An investigation of hand dominance, average versus maximum grip strength","volume":"1","author":"K Ertem","year":"2005","journal-title":"Body Mass Index Ages Determinants Hand Eval"},{"issue":"09","key":"ref12","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.2106\/00004623-198971090-00019","article-title":"Determining carpal collapse. An improved method","volume":"71","author":"A Stahelin","year":"1989","journal-title":"J Bone Joint Surg Am"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/j.hcl.2022.03.002","article-title":"Kienb\u00f6ck disease: clinical presentation, epidemiology, and historical perspective","volume":"38","author":"C A Daly","year":"2022","journal-title":"Hand Clin"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/j.jhsa.2016.02.013","article-title":"Kienb\u00f6ck Disease: moving forward","volume":"41","author":"D M Lichtman","year":"2016","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.hcl.2006.07.003","article-title":"Kienb\u00f6ck's disease: an approach to treatment","volume":"22","author":"J Luo","year":"2006","journal-title":"Hand Clin"},{"key":"ref16","first-page":"6S","article-title":"Potential role for non-salvage procedures in the treatment of Kienb\u00f6ck disease stage IV: a systematic review","volume":"18","author":"P Q Wang","year":"2023","journal-title":"Hand (N Y)"},{"issue":"11","key":"ref17","doi-asserted-by":"crossref","first-page":"1356","DOI":"10.1177\/17531934241238939","article-title":"Tendon ball arthroplasty and proximal carpal stabilization with tendon graft for advanced Kienb\u00f6ck's disease","volume":"49","author":"W Zhang","year":"2024","journal-title":"J Hand Surg Eur Vol"},{"issue":"06","key":"ref18","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1080\/02844310410031612","article-title":"Advanced Kienb\u00f6ck's disease treated with implantation of a tendon roll and temporary partial fixation of the wrist","volume":"38","author":"H Yajima","year":"2004","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1016\/j.jhsa.2014.12.013","article-title":"Scaphocapitate arthrodesis for Kienb\u00f6ck disease","volume":"40","author":"P C Rhee","year":"2015","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"2309499017692704","DOI":"10.1177\/2309499017692704","article-title":"Lunatum excision and scaphocapitate arthrodesis in Kienb\u00f6ck's disease","volume":"25","author":"G \u00d6zdemir","year":"2017","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.hansur.2020.01.002","article-title":"Scaphocapitate fusion for the treatment of Lichtman stage III Kienb\u00f6ck's disease. 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