{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T22:01:10Z","timestamp":1791756070212,"version":"4.3.4"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: Treatment methods in Kienb\u00f6ck\u2019s disease remain controversial despite the long-term awareness of the disease by orthopedic surgeons. Currently, excisional arthroplasty with a palmaris longus tendon ball is one of the most frequently used treatment methods. The aim of this study was to evaluate the long-term results of thirty-eight patients who had been treated with excisional arthroplasty and palmaris longus tendon ball, as well as the effect of this method on carpal height. \\r\\nMethods: In this study, we retrospectively evaluated 38 patients (mean age: 30.4 years; range: 17-64 years) with Stage 3 Kienb\u00f6ck\u2019s disease who underwent excisional arthroplasty between 1978 and 2008. According to the Lichtman classification, 8 patients were classified as Stage 3a and 30 patients were classified as Stage 3b in Kienb\u00f6ck\u2019s disease. The mean duration of follow-up after surgery was 81.3 (range: 25 to 264) months. The outcomes were evaluated with joint range of motion, grip strength and functional assessment of Nakamura and radiographic changes in carpal height. \\r\\nResults: According to the Nakamura s scoring system the results were excellent in 22 (57.9%) patients, good in 13 (34.2%) and moderate in 3 (7.9%). Comparison of pre- and postoperative range of motion of the wrist revealed an average increase in wrist extension of 10\u00b0 (p&lt;0.05), and an average decrease in ulnar deviation of 4\u00b0 (p&lt;0.05) after the operation. No significant difference was observed when comparing other joint range of motion parameters. Dynamometric grip strength measurements revealed significant differences between the healthy and operated sides (67.6 kgf vs. 45.9 kgf, respectively; p&lt;0.05). The decrease in the revised carpal height ratio were significant. \\r\\nConclusion: According to patient satisfaction rate and clinical results, the outcome of excisional arthroplasty with palmaris longus tendon ball in Stage 3 Kienb\u00f6ck\u2019s disease is satisfactory. However, carpal height reduction and development of degenerative changes may be expected in long-term follow-up.\n\n\n\u00d6zet\n\nAma\u00e7: Tarif edilmesinin \u00fczerinden y\u00fczy\u0131l ge\u00e7mi\u015f olmas\u0131na ra\u011fmen Kienb\u00f6ck hastal\u0131\u011f\u0131n\u0131n tedavi y\u00f6ntemleriyle ilgili tart\u0131\u015fmalar devam etmektedir. G\u00fcn\u00fcm\u00fczde, lunatumun eksizyonu ve olu\u015fan bo\u015flu\u011fun palmaris longus tendon yuma\u011f\u0131 ile doldurulmas\u0131 en s\u0131k uygulanan y\u00f6ntemlerden biridir. \u00c7al\u0131\u015fmam\u0131zda, lunatumun \u00e7\u0131kar\u0131lmas\u0131 ve otojen palmaris longus tendon grefti uygulanm\u0131\u015f olan otuzsekiz hastan\u0131n uzun d\u00f6nem sonu\u00e7lar\u0131n\u0131n yan\u0131 s\u0131ra yap\u0131lan i\u015flemin karpal y\u00fcksekli\u011fe etkisini de\u011ferlendirdik. \\r\\n\u00c7al\u0131\u015fma plan\u0131: Evre 3 Kienb\u00f6ck hastal\u0131\u011f\u0131 te\u015fhisi ile 1978-2008 y\u0131llar\u0131 aras\u0131nda lunatum eksizyonu ve palmaris longus tendon yuma\u011f\u0131 ile bo\u015fluk doldurulmas\u0131 uygulanm\u0131\u015f olan 38 hasta (ortalama ya\u015f 30.4; da\u011f\u0131l\u0131m: 17-64) geriye d\u00f6n\u00fck olarak de\u011ferlendirildi. Ameliyat \u00f6ncesi 8 hasta Lichtman Evre 3a, 30 hasta Evre 3b olarak s\u0131n\u0131fland\u0131r\u0131ld\u0131. Ameliyat sonras\u0131 ortalama takip s\u00fcresi ise 81.3 (da\u011f\u0131l\u0131m: 25-264) ay idi. Sonu\u00e7lar eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131, kavrama g\u00fcc\u00fc ve Nakamura fonksiyonel de\u011ferlendirmesi ve radyografik karpal y\u00fckseklik de\u011fi\u015fikli\u011fi ile de\u011ferlendirildi. \\r\\nBulgular: Nakamura de\u011ferlendirme sistemine g\u00f6re 22 hastada (%57.9) \u00e7ok iyi, 13 hastada (%34.2) iyi, 3 hastada (%7.9) orta sonu\u00e7 elde edildi. Ameliyat \u00f6ncesi ve sonras\u0131 el bile\u011fi hareket geni\u015flikleri kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda el bile\u011fi ekstansiyonunda ortalama 10 derecelik art\u0131\u015f (p&lt;0.05), ulnar deviasyonda ise ortalama 4 derecelik azalma (p&lt;0.05) oldu\u011fu g\u00f6r\u00fcld\u00fc. Di\u011fer hareket geni\u015fliklerinin kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131nda istatistiksel olarak anlaml\u0131 fark bulunmad\u0131. Dinamometrik kavrama g\u00fcc\u00fc \u00f6l\u00e7\u00fcmlerinde sa\u011flam taraf ortalamalar\u0131 (67.6 kgf) ile ameliyatl\u0131 taraf ortalamalar\u0131 (45.9 kgf) aras\u0131nda da fark anlaml\u0131 bulundu (p&lt;0.05). Karpal y\u00fckseklik oran\u0131ndaki azalma istatistiksel olarak anlaml\u0131yd\u0131. \\r\\n\u00c7\u0131kar\u0131mlar: Evre 3 Kienb\u00f6ck hastal\u0131\u011f\u0131nda hasta memnuniyet oranlar\u0131 ve klinik sonu\u00e7lar g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, lunatum eksizyonu sonras\u0131 palmaris longus tendon yuma\u011f\u0131 ile bo\u015flu\u011fun doldurulmas\u0131 y\u00f6nteminin sonu\u00e7lar\u0131 tatminkard\u0131r. Fakat bu y\u00f6ntemi se\u00e7erken uzun d\u00f6nemde karpal y\u00fckseklik oran\u0131n\u0131n azal\u0131p, dejeneratif de\u011fi\u015fikliklerin meydana gelebilece\u011fi ak\u0131lda tutulmal\u0131d\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2011.2566","type":"journal-article","created":{"date-parts":[[2012,1,24]],"date-time":"2012-01-24T06:02:26Z","timestamp":1327384946000},"page":"393-398","source":"Crossref","is-referenced-by-count":8,"title":["The effect of excisional arthroplasty with palmaris longus tendon on carpal height ratio in Stage 3 Kienb\u00f6ck\u2019s disease"],"prefix":"10.5152","volume":"45","author":[{"given":"Levent","family":"Kucuk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oguz","family":"Ozdemir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erhan","family":"Coskunol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahir","family":"S. Sugun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemal","family":"Ozaksar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2532\/2488","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:27:49Z","timestamp":1763465269000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2532"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2011,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2011.2566","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}