Table 5 Review of comparative outcome studies with extractable data
From: Comparison of clinical and radiologic treatment outcomes of Kienböck’s disease
Author | Data assessment | Treatment (inclusion rate of wrists with KDd) | Follow-up in years (SD) | Post-op pain | Post-op DASH without work module | Post-op E/F | Incapacity for work (weeks) | Significant difference in clinical outcome |
|---|---|---|---|---|---|---|---|---|
Afshar, 2013 [42] | Chart review | RSO (9/9) | 6.4 ± 1.8 | NM | NM | NM | NM | None |
Examination | VBG (7/7) | 6.5 ± 1.6 | NM | NM | NM | NM | ||
Martin, 2013 [43] | DASH only | Conservative (44/44) | NM | NM | 23.7 ± 24.5 | NM | NM | None |
Partial wrist fusion (11/11) | NM | NM | 20.0 ± 20.1 | NM | NM | |||
Complete wrist fusion (5/5) | ||||||||
Lunate excision (1/1) | ||||||||
RSO (1/1) | ||||||||
Hohendorff, 2012 [44] | Chart review | STT (8/8) | 1 | VAS at restb, 28 ± 31 | 21 ± 16 | 56° ± 16 | NM | Better E/F and R/U after PRC |
VAS activity-inducedb, 30 ± 27 | ||||||||
Examination | PRC (11/11) | 1 | VAS at restb, 16 ± 29 | 19 ± 20 | 80° ± 23 | NM | ||
VAS activity-inducedb, 30 ± 26 | ||||||||
Van den Dungen, 2006 [45] | Chart review | Conservative (19/59) | 12 | Pain quality and duration | 21 | 92° | 2.6 | Less pain, better ROM, faster return to work after conservative treatment |
Examination | STT (11/25) | 14 | Pain quality and duration | 17 | 74° | 17.1 | ||
Das Gupta, 2003 [46] | Examination | STT (13/13) | 1.9 | NM | 19 | 68° | NM | NM |
RSO (20/42) | 6.9 | NM | 14 | 106° | NM | |||
Salmon, 2000 | Chart review | Conservative (15/18) | NM | NRS at restb, 2.8 | NM | NM | NM | NM |
NRS at worstb, 3 | ||||||||
Examination | RSO (14/15) | NM | NRS at restb, 0.5 | NM | NM | NM | ||
NRS at worstb, 7.6 | ||||||||
Nakamura, 1998 [48] | Chart review | PRC (7/7) | 6.7 | Pain yes/no | NM | 64° | NM | None |
STT (7/7) | 3.5 | Pain yes/no | NM | 76° | NM | |||
SC (4/4) | ||||||||
RL (3/3) | ||||||||
LC (1/1) | ||||||||
Delaere, 1998 [49] | Chart review | Conservative (22/22) | 5.4 | Pain quality and duration | NM | 97° | NM | Better ROM after conservative treatment |
Examination | STT (11/11) | 5.5 | Pain quality and duration | NM | 68° | NM | ||
PRC (6/6) | ||||||||
Vessel implantation (3/3) | ||||||||
RSO (1/1) | ||||||||
Ulnar lengthening (1/1) | ||||||||
Denervation (1/1) | ||||||||
Condit, 1993 [50] | Chart review | RSO (14/15) | 5.2 | NM | – | NM | NM | Better clinical outcome after RSO according to own wrist scoring system |
Examination | STT (9/9) | 4.5 | NM | – | NM | NM | ||
Kristensen, 1986 [51] | Chart review | Immobilization (23/23) | 23 | VRSa (0–3), 2 ± 0.7 | – | NM | NM | NM |
Examination | No specific treatment (24/24) | 18.2 | VRSa (0–3), 2 ± 0.7 | – | NM | NM | ||
Evans, 1986 [52] | Chart review | Conservative (14/14) | 1.8 | VRSa (0–3), 1 ± 0.7 | – | 68° | NM | NM |
Examination | Silastic arthroplasty (21/21) | 3.2 | VRSa (0–3), 1 ± 0.8 | – | 69° | NM | ||
Beckenbaugh, 1980 [53] | Chart review | Conservative (7/10) | 7 | No patient had pain | – | 89° | NM | None |
Examination | Silastic arthroplasty (22/22) | 3.8 | No patient had pain | – | 75° | NM | ||
Stahl, 2015 [54] | Chart review | STT (27/46) | 4b ± 3c | NRS at rest, 0a ±2 c | 44.3b ± 19c | 83°b ± 16c | 4b ± 3c | None |
NRS activity-induced, 5a ±2c | ||||||||
Questionnaire | RSO (14/21) | 10b ± 7.4c | NRS at rest, 1a ± 1c | 43.9b ± 19c | 93°b ± 42c | 5b ± 3c | ||
Examination | NRS activity-induced, 6a ±2 c |