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Pyrocarbon Arthroplasty for Kienböck’s Disease

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Kienböck’s Disease

Abstract

Currently, there is no satisfactory treatment for Kienböck’s disease that provides excellent long-term results, in the context of macroscopic collapse of the lunate. Surgeons and scientists have been exploring multiple potential avenues of treatment with varying degrees of success over the decades. These have included the use of pyrolytic carbon (pyrocarbon) implants.

Pyrocarbon has many theoretical advantages over other materials when used in arthroplasty, which have been demonstrated in a laboratory setting. Clinically, it has been used in most joints of the upper limb, usually with convincing measures of success. However, the use of pyrocarbon implants in Kienböck’s disease is relatively new and not commonly practised. Over time it may be used more routinely, once the long-term effectiveness has been investigated.

This chapter provides a brief insight into pyrocarbon, it’s material properties, history of use and up to date evidence for pyrocarbon arthroplasty in Kienböck’s disease.

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References

  1. Innes L, Strauch RJ. Systematic review of the treatment of Kienböck’s disease in its early and late stages. J Hand Surg Am. 2010;35:713–7.

    Article  PubMed  Google Scholar 

  2. Koh S, Nakamura R, Horii E, Nakao E, Inagaki H, Yajima H. Surgical outcome of radial osteotomy for Kienböck’s disease—minimum 10 years of follow up. J Hand Surg Am. 2003;28:910–6.

    Article  PubMed  Google Scholar 

  3. Raven EE, Haverkamp D, Marti RK. Outcome of Kienböck’s disease 22 years after distal radius shortening osteotomy. Clin Orthop Relat Res. 2007;460:137–41.

    CAS  PubMed  Google Scholar 

  4. Van den Dungen S, Dury M, Foucher G, Marin Braun F, Loréa P. Conservative treatment versus scaphotrapeziotrapezoid arthrodesis for Kienböck’s disease: a retrospective study. Chir Main. 2006;25:141–5.

    Article  PubMed  Google Scholar 

  5. Watanabe T, Takahara M, Tsuchida H, Yamahara S, Kikuchi N, Ogino T. Long-term follow-up of radial shortening osteotomy for Kienböck disease. J Bone Joint Surg Am. 2008;90:1705–11.

    Article  PubMed  Google Scholar 

  6. Lin HH, Stern PJ. “Salvage” procedures in the treatment of Kienböck’s disease. Proximal row carpectomy and total wrist arthrodesis. Hand Clin. 1993;9:521–6.

    CAS  PubMed  Google Scholar 

  7. Roca J, Beltran JE, Fairen MF, Alvarez A. Treatment of Kienböck’s disease using a silicone rubber implant. J Bone Joint Surg Am. 1976;58:373–6.

    CAS  PubMed  Google Scholar 

  8. Bokros JC. Deposition, structure and properties of pyrolytic carbon used in medical applications. In: Walker PL, editor. Chemistry and physics of carbon. New York, NY: Marcel Dekker; 1969. p. 1–118.

    Google Scholar 

  9. Bokros JC, Haubold AD, Akins RJ, Campbell LA, Griffin CD, Lane E. The durability of mechanical heart valve replacement: past experience and current trends. In: Bodnar E, Frater RWM, editors. Replacement cardiac valves. New York, NY: Pergamon Press; 1991. p. 21–47.

    Google Scholar 

  10. Ross M, James C, Couzens G, Klawitter J. Pyrocarbon small joint arthroplasty of the extremities. In: Revell PA, editor. Joint replacement technology. 2nd ed. Cambridge: Woodhead Publishing; 2014. p. 628–73.

    Chapter  Google Scholar 

  11. Cook SD, Beckenbaugh RD, Redondo J, Popich LS, Klawitter JJ, Linschied RL. Long-term followup of pyrolytic carbon metacarpophalangeal joints. J Bone Joint Surg Am. 1999;81:635–48.

    CAS  PubMed  Google Scholar 

  12. Stanley J, Klawitter J, More R. Replacing joints with pyrolytic carbon. In: Revell PA, editor. Joint replacement technology. Cambridge: Woodhead Publishing; 2008. p. 631–56.

    Chapter  Google Scholar 

  13. Kaae JL. The mechanism of deposition of pyrolytic carbon. Carbon. 1985;23(6):665–7.

    Article  CAS  Google Scholar 

  14. Reilly DT, Burnstein AH. The mechanical properties of cortical bone. J Bone Joint Surg Am. 1974;56(5):1001–22.

    CAS  PubMed  Google Scholar 

  15. Ritchie RO, Dauskardt RH, Yu W, Brendzel AM. Cyclic fatigue-crack propagation, stress corrosion and fracture toughness behaviour in pyrolite carbon coated graphite for prosthetic heart valve applications. J Biomed Mat Res. 1990;24:189–206.

    Article  CAS  Google Scholar 

  16. Hills BA, Monds MK. Enzymatic identification of the load-bearing lubricant in the joint. Br J Rheumatol. 1998;37(2):137–42.

    Article  CAS  PubMed  Google Scholar 

  17. Qiu Y, Holland N, Ruegsegger M, Marchant R. Biomimetic engineering of non-adhesive glycocalyx-like surfaces using oligosaccharide surfactant polymers. Nature. 1998;392:799–801.

    Article  PubMed  Google Scholar 

  18. Strzepa P, Klawitter J. Ascension pyrocarbon hemisphere wear testing against bone. Poster 0897. In Proceedings of 51st Annual Meeting of the Orthopaedic Research Society, Washington, DC, 2005.

    Google Scholar 

  19. Thomas KA, Cook SD, Renz EA, Anderson RC, Haddad RJ, Haubold AD, et al. The effect of surface treatments on the interface mechanics of LTI pyrolytic carbon implants. J Biomed Mater Res. 1985;19:145–59.

    Article  CAS  PubMed  Google Scholar 

  20. Glasson JM, Duke P, Ross M. Pyrocarbon humeral resurfacing – an option in hemiarthroplasty. Paris International Shoulder Course 2013: Current concepts on shoulder arthroplasty 2013, pp. 97–101.

    Google Scholar 

  21. Wall LB, Stern PJ. Clinical and radiographic outcomes of metacarpophalangeal joint pyrolytic carbon arthroplasty for osteoarthritis. J Hand Surg Am. 2013;38(3):537–43.

    Article  PubMed  Google Scholar 

  22. Sweets TM, Stern PJ. Pyrolytic carbon resurfacing arthroplasty for osteoarthritis of the proximal interphalangeal joint of the finger. J Bone Joint Surg Am. 2011;93(15):1417–25.

    Article  PubMed  Google Scholar 

  23. Moritomo H, Apergis EP, Herzberg G, Werner FW, Wolfe SW, Garcia-Elias M. IFSSH committee report of wrist biomechanics committee: biomechanics of the so-called dart-throwing motion of the wrist. J Hand Surg Am. 2007;32(9):1447–53.

    Article  PubMed  Google Scholar 

  24. Berger RA, Bishop AT, Bettinger PC. New dorsal capsulotomy for the surgical exposure of the wrist. Ann Plast Surg. 1995;35(1):54–9.

    Article  CAS  PubMed  Google Scholar 

  25. Bellemère P, Maes-Clavier C, Loubersac T, Gaisne E, Kerjean Y. Amandys implant: novel pyrocarbon arthroplasty for the wrist. Chir Main. 2012;31(4):176–84.

    Article  PubMed  Google Scholar 

  26. Daruwalla ZJ, Davies KL, Shafighian A, Gillham NR. Early results of a prospective study on the pyrolytic carbon (pyrocarbon) Amandys for osteoarthritis of the wrist. Ann R Coll Surg Engl. 2012;94(7):496–501.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Pequignot JP, Lussiez B, Allieu Y. an adaptive proximal scaphoid implant. Chir Main. 2000;19:276–85.

    Article  CAS  PubMed  Google Scholar 

  28. Grandis C, Berzero F, Pasqualini M. Pyrocarbon A.P.S.I. prosthesis in Kien-bock’s disease. J Hand Surg Eur Vol. 2006;31(Suppl):34–5.

    Article  Google Scholar 

  29. Werthel JD, Hoang DV, Boyer P, Dallaudiere B, Massin P, Loriaut P. Treatment of Kienböck’s disease using a pyrocarbon implant: case report. Chir Main. 2014;33(6):404–9.

    Article  CAS  PubMed  Google Scholar 

  30. Berger RA. A method of defining palpable landmarks for the ligament-splitting dorsal wrist capsulotomy. J Hand Surg Am. 2007;32(8):1291–5.

    Article  PubMed  Google Scholar 

  31. Ross M, Loveridge J, Cutbush K, Couzens G. Scapholunate ligament reconstruction. J Wrist Surg. 2013;2(2):110–5.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Henry M. Double bundle tendon graft for rotational stabilization of lunate implant arthroplasty. Tech Hand Up Extrem Surg. 2011;15(1):16–23.

    Article  PubMed  Google Scholar 

  33. Henry M. Outcomes assessment of lunate replacement arthroplasty with intrinsic carpal ligament reconstruction in Kienböck’s disease. Hand. 2014;9(3):364–9.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Szalay G, Stigler B, Kraus R, Böhringer G, Schnettler R. Proximal row carpectomy and replacement of the proximal pole of the capitate by means of a pyrocarbon cap (RCPI) in advanced carpal collapse. Handchir Mikrochir Plast Chir. 2012;44:17–22.

    Article  CAS  PubMed  Google Scholar 

  35. Marcuzzi A, Ozben H, Russomando A. The use of a pyrocarbon capitate resurfacing implant in chronic wrist disorders. J Hand Surg Eur Vol. 2013;39(6):611–8.

    Article  PubMed  Google Scholar 

  36. Goubier JN, Vogels J, Teboul F. Capitate pyrocarbon prosthesis in radiocarpal osteoarthritis. Tech Hand Up Extrem Surg. 2011;15:28–31.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Institut de la Main Nantes Atlantique, Clinique Jeanne d’Arc, 21 rue des Martyrs, Nantes, 44100, France

    Philippe Bellemère MD & Aude Le Corre MD

  2. Department of Trauma and Orthopedics, The Royal London Hospital, Whitechapel Road, London, E1 1BB, UK

    Wisam Al-Hakim MBBS BSc PGDip FRCS (Tr & Orth)

  3. Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, 9/259 Wickham Terrace, Brisbane, QLD, Australia

    Mark Ross MBBS, FRACS

  4. Department of Orthopedics, Princess Alexandra Hospital, Brisbane, QLD, Australia

    Mark Ross MBBS, FRACS

  5. School of Medicine, The University of Queensland, Brisbane, QLD, 4072, Australia

    Mark Ross MBBS, FRACS

Authors
  1. Philippe Bellemère MD
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  2. Wisam Al-Hakim MBBS BSc PGDip FRCS (Tr & Orth)
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  3. Aude Le Corre MD
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  4. Mark Ross MBBS, FRACS
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Corresponding author

Correspondence to Philippe Bellemère MD .

Editor information

Editors and Affiliations

  1. Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA

    David M. Lichtman

  2. Department of Orthopedic Surgery, Flinders University and Flinders Medical Centre, Adelaide, South Australia, Australia

    Gregory Ian Bain

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Bellemère, P., Al-Hakim, W., Le Corre, A., Ross, M. (2016). Pyrocarbon Arthroplasty for Kienböck’s Disease. In: Lichtman, D., Bain, G. (eds) Kienböck’s Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-34226-9_26

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  • DOI: https://doi.org/10.1007/978-3-319-34226-9_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34224-5

  • Online ISBN: 978-3-319-34226-9

  • eBook Packages: MedicineMedicine (R0)

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