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Dec. 03, 2023

Dec. 03, 2023

jRCT1020230043

Relationship between age and postoperative results of radial wedge osteotomy for Kienboeck's disease Lichtman classification stages IIIa and IIIb

Relationship between age and postoperative results of radial wedge osteotomy for Kienboeck's disease

Yokota Takeru

Fukushima Medical University

1 Hikarigaoka, Fukushima City, Fukushima 960-1295, Japan

+81-24-547-1276

yokota_ishi_takeru@yahoo.co.jp

Yokota Takeru

Fukushima Medical University

1 Hikarigaoka, Fukushima City, Fukushima 960-1295, Japan

+81-24-547-1276

yokotake@fmu.ac.jp

Recruiting

Jan. 01, 2012

30

Observational

single arm study

open(masking not used)

factorial assignment

treatment purpose

(i) Patients diagnosed with stage IIIa or IIIb Kienboeck's disease according to the Lichtman classification at the Department of Orthopaedic Surgery of Fukushima Medical University and Iwaki City Medical Centre.
(ii) Patients who have undergone radial wedge osteotomy. (iii) Patients for whom one year has passed since the operation.

none

0age No limit
No limit

Both

Kienboeck disease

Kienboeck disease

D010020

Age cut-off values for post-operative outcomes in clinical and radiological outcomes
Clinical outcome: Binarised into excellent/good and fair/poor groups based on Cooney's score and calculated using ROC curves.
Clinical outcome: Binarised into excellent/good and fair/poor groups based on Cooney's score, and the ROC curve is used to calculate the age cut-off value.
Radiological results: ROC curves are used to calculate age cut-off values for the presence or absence of lunate fusion in simple X-rays.
Radiological results: Calculate the age cut-off value using the ROC curve for the presence of lunate fusion in simple X-rays.

Compare outcomes between groups by separating younger and older age groups for each outcome using the age cut-off values for clinical and radiological outcomes.
(i) Clinical outcomes.
Grip strength, pain and joint range of motion
DASH score
Cooney's score
(ii) Radiological outcomes
Presence of lunate fusion
Lichtman classification
Carpal height ratio, Stahl index

Fukushima Medical University
Fukushima Medical University Certified Review Board
1 Hikarigaoka, Fukushima city, Fukushima, Japan, Fukushima

+81-24-547-1825

fmucrb@fmu.ac.jp

No

none