Long-Term Follow-up of Radial Shortening Osteotomy for Kienböck Disease

Abstract

Although most patients had mild wrist pain, patient satisfaction and the clinical results were satisfactory following a radial shortening osteotomy. This procedure is a reliable long-term treatment for Lichtman stage-II and IIIA disease and may be a reasonable option for patients with stage-IIIB disease.

Computed Tomography Osteoabsorptiometry Alterations in Stress Distribution Patterns Through the Wrist After Radial Shortening Osteotomy for Kienböck Disease

“…[2][3][4][5][6][7][8] In addition, revascularization of the diseased lunate was achieved by this osteotomy. 7 Several biomechanical studies have demonstrated that radial shortening can unload the lunate by shifting the load toward the distal ulna.…”

“…Many authors have reported a satisfactory clinical outcome after this procedure for Kienböck disease. [2][3][4][5][6][7][8] In addition, previous experimental and theoretical studies have supported this osteotomy as being an effective extraarticular procedure to reduce the load on the diseased lunate. 9 -13 Although these biomechanical studies have clarified unloading the lunate after radial shortening, the obtained results may be achieved under nonphysiological loading conditions.…”

Treatment of Kienböck Disease by Lunate Core Decompression

“…Since then, different types of vascularized bone graft have been suggested to treat Kienböck disease. 11,12 Because some studies [13][14][15] have reported many complications related to joint-leveling procedures, including nonunion, infection, and ulnar impingement, and the need for plate removal in most patients undergoing radial shortening, the authors of this study performed lunate core decompression. The purpose of this study was to report the medium-term results of lunate core decompression for Kienböck disease.…”

Clinical and radiological results of radial shortening osteotomy, and proximal row carpectomy in Kienbock's Disease

“…Some authors do not recommend radial shortening at advanced stages of lunatomalacia. [12] this is due to the fact that osteotomy at this stage does not correct position of scaphoid [34,35,36]. In their study Croog et al [6,28] stated that proximal row carpectomy was a reliable surgical method for Lichtman Stage IIIA and IIIB disease.…”