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Ulnar Lengthening and Radial Recession Procedures for Kienböck’s Disease

Long-term clinical and radiographic follow-up

From the Department of Orthopedics, Mayo Clinic, Rochester, Minnesota, USA

Correspondence: Ronald L. Linscheid, MD, Mayo Clinic, Department of Orthopedics, 200 First St., S.W., Rochester, MN 55905 USA.

Twenty patients with Kienböck’s disease who had undergone a joint levelling procedure, were reviewed at a mean of 11 years following surgery. Clinical and radiological evaluation revealed good long-term results with all patients complaining of less pain than before surgery and with statistically significant increases in range of motion and grip strength.

Radiologically a significant number of patients were found still to have lunate fractures and fragmentation. In addition, 13 patients have developed new bone formation in the lunate fossa, and 12 show osteoarthritic changes, particularly at the radioscaphoid interface. Radial shortening was felt to be superior to ulnar lengthening in that there were fewer problems with bone union.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 2, 169-171 (1996)
DOI: 10.1016/S0266-7681(96)80092-1


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