Radial shortening for Kienböck disease.

Weiss, A.-P. C.; Weiland, Andrew J.; Moore, John R.; Wilgis, E.F. Shaw

doi:10.2106/00004623-199173030-00009

Cited by 145 publications

(55 citation statements)

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“…This suggests that malrotation of the scaphoid was a negative predictive factor regarding the outcome of stage-III Kienböck's disease treated by this operation. By contrast, in all four wrists which Weiss et al 10 analysed the clinical and functional results of radial shortening for stage-IIIB cases were excellent, despite the lack of radiological improvement. Our results also showed a major decrease in wrist pain, as well as improved movement of the wrist and grip strength after radial osteotomy.…”

Section: Discussionmentioning

confidence: 87%

“…[4][5][6][7][8][9][10] Our study showed good or excellent clinical results after both types of radial osteotomy for stage IIIB and stage IV of Kienböck's disease. In addition, we found radiological improvement of the lunate in one patient in the CW group and four patients in the RS group.…”

Section: Discussionmentioning

confidence: 91%

“…Treatment includes conservative measures and surgical procedures such as excision arthroplasty, [1][2][3] radial osteotomy (shortening and wedge resection), [4][5][6][7][8][9][10] limited intercarpal fusions, [11][12][13][14] and vascularised bone grafting. 15 Hulten 16 recognised that there was a positive correlation between Kienböck's disease and negative ulnar variance.…”

mentioning

confidence: 99%

“…A number of biomechanical and clinical studies have supported jointlevelling procedures as being an effective extra-articular method of unloading the lunate. 4,[6][7][8]10,[17][18][19][20][21][22] Tsumura et al, 23,24 however, described a radial wedge osteotomy which decreased radial inclination, also referred to as a lateral closing osteotomy, as another extra-articular procedure for the treatment of Kienböck's disease, with either negative or positive ulnar variance. Using a two-dimensional rigidbody spring model, they showed that this osteotomy reduced the compressive force on the affected lunate.…”

mentioning

confidence: 99%

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Radial osteotomy for late-stage Kienböck’s disease

Iwasaki

Minami

Oizumi

et al. 2002

The Journal of Bone and Joint Surgery. British volume

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We have reviewed 20 patients with stage-IIIB and stage-IV Kienböck's disease in order to examine the efficacy of two forms of radial osteotomy, namely radial wedge osteotomy and radial shortening. Lateral closing wedge osteotomies and radial shortenings were carried out on 11 and nine patients, respectively. There were no preoperative differences with respect to age, gender, and radiological stage.After a mean follow-up of 29 months, all patients, in both groups, had either a good or an excellent outcome. After the lateral closing wedge osteotomy, the radioscaphoid angle significantly increased and the Ståhl index significantly decreased. Progression of the degenerative changes at the radioscaphoid joint was found in two patients in this group. By contrast, there were no significant changes in any radiological parameters after radial shortening. Both procedures gave acceptable clinical results in stage-IIIB and stage-IV Kienböck's disease.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 91%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Radial osteotomy for late-stage Kienböck’s disease

Iwasaki

Minami

Oizumi

et al. 2002

The Journal of Bone and Joint Surgery. British volume

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show abstract

“…The postoperative wrist motion was unchanged, but the Joint leveling procedures, such as radial shortening (Hulten 1928) and ulnar lengthening (Persson 1945) decrease the load on the h a t e in Kienbock's disease but may cause ulno-carpal abutment (Armistead et al 1982, Nakamura et al 1986, Weiss et al 1991. The capitate-hamate fusion, as reported by Chuinard and Zeman (1980), is another means of relieving pressure on the lunate.…”

mentioning

confidence: 98%