Wernér Krista, Anttila Turkka, Viljakka Timo, Ryhänen Jorma, Hulkkonen Sina
Musculoskeletal and Plastic Surgery, Department of Hand Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Tampere University Hospital, Tampere, Finland.
J Hand Surg Eur Vol. 2025 Sep;50(8):1083-1090. doi: 10.1177/17531934241312894. Epub 2025 Jan 24.
This study assessed the nationwide incidence of Kienböck's Disease, and operations performed for Kienböck's Disease from the Care Register for Health Care in Finland 1996-2022. The mean annual total standardized incidence rate per million person-years was 9.60 (95% CI: 9.10-10.11) and for men and women, 10.38 (95% CI: 9.63-11.13) and 8.78 (95% CI: 8.10-9.45), respectively. The incidence rate was highest for 50-59-year-olds, at 15.49. Compared with women, the incidence rate for men was higher across all age groups up to 60-69 years. Altogether, 44% of the patients were operated on, and 19% of them had multiple operations. Partial arthrodesis was the most performed procedure and salvage procedures covered 62% of all operations. Our findings provide comprehensive new evidence about Kienböck's Disease distribution across Finland's population and offer insights into the burden caused by operations. III.
本研究评估了1996年至2022年芬兰医疗保健登记册中月骨无菌性坏死的全国发病率以及针对月骨无菌性坏死所开展的手术情况。每百万人口年的平均年度总标准化发病率为9.60（95%置信区间：9.10 - 10.11），男性和女性的发病率分别为10.38（95%置信区间：9.63 - 11.13）和8.78（95%置信区间：8.10 - 9.45）。发病率最高的是50 - 59岁年龄段，为15.49。在60 - 69岁之前的所有年龄组中，男性的发病率均高于女性。总共有44%的患者接受了手术，其中19%的患者接受了多次手术。部分关节融合术是最常施行的手术方式，挽救性手术占所有手术的62%。我们的研究结果提供了关于月骨无菌性坏死在芬兰人群中分布的全面新证据，并深入了解了手术造成的负担。三
