{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T12:34:06Z","timestamp":1764333246690},"reference-count":16,"publisher":"World Scientific Pub Co Pte Ltd","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p> Background: We report medium-term results in our case series of patients with Kienb\u00f6ck disease receiving a pyrocarbon lunate replacement (Integra, Smith and Nephew, Watford, UK). <\/jats:p><jats:p> Methods: Patients with Kienb\u00f6ck 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. <\/jats:p><jats:p> 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\u2013112 months). A mean 9\/10 preoperative VAS score improved to 1\/10 by 3 months postoperatively (p &lt; 0.001, paired t-test). No major complications were seen, and implants were stable radiologically. <\/jats:p><jats:p> Conclusions: A semi-constrained pyrocarbon lunate can provide good results for patients with advanced Kienb\u00f6ck\u2019s disease, offering an alternative to proximal row carpectomy salvage surgery. <\/jats:p><jats:p> Level of Evidence: Level IV (Therapeutic) <\/jats:p>","DOI":"10.1142\/s2424835522500965","type":"journal-article","created":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T03:22:49Z","timestamp":1671765769000},"page":"1008-1012","source":"Crossref","is-referenced-by-count":3,"title":["Pyrocarbon Lunate Replacements Perform Well at Two Years: A Retrospective Case Series and Technique from Two UK Tertiary Centres"],"prefix":"10.1142","volume":"27","author":[{"given":"Uthman","family":"ALAO","sequence":"first","affiliation":[{"name":"The Upper Limb Unit, Wrightington Hospital, Lancashire, 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