{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T04:35:33Z","timestamp":1768278933114,"version":"3.49.0"},"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: The purpose of this study was to investigate the objective and subjective outcomes of proximal row carpectomy (PRC) for stage III Kienb\u00f6ck\u2019s disease and determine if the physician\u2019s objective measurements correlate with the patients\u2019 subjective outcomes.\nMethods: Twenty-four patients who underwent PRC for stage III Kienb\u00f6ck\u2019s disease with a follow-up period of more than 18 months were enrolled in the study. Clinical evaluation included preoperative and postoperative Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) questionnaire, postoperative Mayo wrist score, postoperative total joint range of motion (ROM), as well as grip and pinch strength measurements of the operated and normal side. Radiographic criteria such as carpal height ratio, subchondral cyst, and osteophyte formation were assessed during the follow-up period. Mean follow-up period was 41.7 months (range: 18\u2013106 months).\nResults: No wrists underwent total arthrodesis. Reflex sympathetic dystrophy was observed in 2 patients (8.3%). Postoperative ROM measurements, power grip, and pinch strength values significantly decreased in both stages (IIIA and IIIB) on the operated side compared to the normal side. In contrast, Q-DASH scores significantly increased in both stages compared to preoperative values. Average Mayo wrist score was 67.3 (range: 10\u201390).\nConclusion: PRC is a well-tolerated procedure for stage III Kienb\u00f6ck\u2019s disease with certain complications. While subjective values improved significantly, there was no correlation between this improvement in subjective values and objective measurements. PRC was not able to restore motion postoperatively to that of the normal side, even though this feature did not affect postoperative subjective patient satisfaction.\n \n\nDOI: 10.3944\/AOTT.2015.14.0346\n\n \n\n\u00d6zet\n\n \n\n\u00d6ZET\n\nAma\u00e7: Evre III Kienb\u00f6ck hastal\u0131\u011f\u0131nda proksimal s\u0131ra karpektomi (PSK)\u2019nin objektif ve subjektif sonu\u00e7lar\u0131n\u0131 ara\u015ft\u0131rmak ve klinisyenin objektif \u00f6l\u00e7\u00fcmleriyle hastalar\u0131n subjektif sonu\u00e7lar\u0131n\u0131n korele olup olmad\u0131\u011f\u0131n\u0131 belirlemek.\n\n\u00c7al\u0131\u015fma plan\u0131: Evre III Kienb\u00f6ck hastal\u0131\u011f\u0131 tan\u0131s\u0131yla PSK uygulanan ve 18 aydan daha uzun s\u00fcreli  takibi olan 24 hasta \u00e7al\u0131\u015fma kapsam\u0131na al\u0131nd\u0131. Klinik incelemede preoperatif and postoperatif H\u0131zl\u0131 Kol El ve Omuz Sorunlar\u0131 (QuickDASH) sorgulamas\u0131na, postoperatif MAYO el bilek sorgulamas\u0131na, opere edilen ve normal taraf\u0131n postoperatif total eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 (EHA), kavrama and \u00e7imdikleme kuvvet \u00f6l\u00e7\u00fcmlerine bak\u0131ld\u0131. Her kontrolde karpal y\u00fckseklik oran\u0131, subkondral kist ve osteofit olu\u015fumu gibi radyolojik kriterler de\u011ferlendirildi. Ortalama takip s\u00fcresi 41.7 ay (da\u011f\u0131l\u0131m 18\u2013106 ay) idi.\n\nBulgular: Hi\u00e7 bir el bile\u011finde total artrodeze gidi\u015f olmad\u0131. \u0130ki hastada ( 8.3%) refleks sempatik distrofi g\u00f6zlendi. Postoperatif EHA \u00f6l\u00e7\u00fcmleri, kuvvetli kavrama ve \u00e7imdikleme kuvvet \u00f6l\u00e7\u00fcmleri her iki evrede (IIIA ve IIIB) normal tarafla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda anlaml\u0131 olarak azalm\u0131\u015f olarak bulundu. Buna kar\u015f\u0131l\u0131k, QuickDASH skoru (subjektif iyilik hali) preoperatif de\u011ferleri ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda anlaml\u0131 olarak daha iyiydi. Ortalama MAYO el bilek skoru 67,3 (da\u011f\u0131l\u0131m 10-90) idi.\n\n\u00c7\u0131kar\u0131mlar: PSK belirli komplikasyonlar\u0131na kar\u015f\u0131n Evre III Kienb\u00f6ck hastal\u0131\u011f\u0131nda iyi tolere edilebilen bir prosed\u00fcrd\u00fcr. Subjektif de\u011ferler anlaml\u0131 olarak d\u00fczelmektedir. Subjektif iyile\u015fme ve objektif \u00f6l\u00e7\u00fcmler aras\u0131nda korelasyon bulunmamaktad\u0131r. Proksimal s\u0131ra karpektomi hastay\u0131 subjektif olarak memnun etmesine ra\u011fmen postoperatif olarak normal taraf ile k\u0131yasland\u0131\u011f\u0131nda hareketi restore edememektedir..\n\nAnahtar kelimeler: Kienb\u00f6ck hastal\u0131\u011f\u0131, proksimal s\u0131ra karpektomi.\n\nDOI: 10.3944\/AOTT.2015.14.0346\n\nBu \u00f6zet, makalenin hen\u00fcz redaksiyonu tamamlanmam\u0131\u015f haline aittir ve bilgi verme ama\u00e7l\u0131d\u0131r. Yay\u0131n a\u015famas\u0131nda de\u011fi\u015fiklik g\u00f6sterebilir.<\/jats:p>","DOI":"10.3944\/aott.2015.14.0346","type":"journal-article","created":{"date-parts":[[2015,6,11]],"date-time":"2015-06-11T02:28:20Z","timestamp":1433989700000},"page":"641-647","source":"Crossref","is-referenced-by-count":6,"title":["Proximal row carpectomy for Lichtman stage III Kienb\u00f6ck\u2019s disease"],"prefix":"10.5152","volume":"49","author":[{"given":"Levent","family":"Buluc","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hakan","family":"Gundes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuncay","family":"Baran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ozgur","family":"Selek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"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\/3062\/3014","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:07:54Z","timestamp":1763464074000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2015,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0346","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]]}}}