Comparison of two surgical methods in the treatment of Kienbach's disease

Comparison of the results of the treatment of Kienbock's disease with two methods of vascular bone grafting and scaphocapitate fusion

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20251018067679N1

Enrollment

Registered

2025-10-23

Start date

2025-11-11

Completion date

Unknown

Last updated

2025-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Kienböck's disease. Kienböck disease of adults

Interventions

Intervention 1: Intervention group: vascular bone grafting surgery: The purpose of vascularized bone grafting is to restore blood flow to the lunate bone. In this surgical technique, a segment of bone

Eligibility

Sex/Gender

All

Age

18 Years to 45 Years

Inclusion criteria

Inclusion criteria: Stage II Kienbach's disease Stage IIIA Kienbach's disease Age 18-45 years First time undergoing either vascular bone grafting or unilateral Ability to answer questions in Persian

Exclusion criteria

Exclusion criteria: Patient with Kienbach disease stage IIIB, IV Presence of simultaneous fractures in the wrist and forearm Presence of hereditary disease of the wrist and forearm on the same hand and the opposite side History of previous orthopedic surgery on the wrist and forearm Presence of underlying disease

Design outcomes

Primary

Measure	Time frame
Carpal height ratio. Timepoint: The beginning of the study before the intervention (surgery) and 6 months after surgery. Method of measurement: Radiography.;Pain. Timepoint: The beginning of the study before the intervention (surgery) and 6 months after surgery. Method of measurement: Visual Analogue Scale.;Upper limb disability. Timepoint: The beginning of the study before the intervention (surgery) and 6 months after surgery. Method of measurement: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire.;Stahl's lunate index. Timepoint: The beginning of the study before the intervention (surgery) and 6 months after surgery. Method of measurement: Radiography.	—

Measure

Time frame

Carpal height ratio. Timepoint: The beginning of the study before the intervention (surgery) and 6 months after surgery. Method of measurement: Radiography.;Pain. Timepoint: The beginning of the study before the intervention (surgery) and 6 months after surgery. Method of measurement: Visual Analogue Scale.;Upper limb disability. Timepoint: The beginning of the study before the intervention (surgery) and 6 months after surgery. Method of measurement: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire.;Stahl's lunate index. Timepoint: The beginning of the study before the intervention (surgery) and 6 months after surgery. Method of measurement: Radiography.

—

Secondary

Measure	Time frame
Quality of life. Timepoint: The beginning of the study before the intervention (surgery) and 6 months after surgery. Method of measurement: 36-Item Short Form Survey (SF-36) questionnaire.	—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactAmir Bisadi

Shahid Beheshti University of Medical Sciences

bisadi.md@gmail.com+98 21 23871

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026