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Journal of Hand Surgery (British and European Volume)
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Articles

Long-Term Outcome of Radial Shortening with or Without Ulnar Shortening for Treatment of Kienböck’s Disease: A 13–25 Year Follow-Up

K. ZENZAI
M. SHIBATA
N. ENDO

From the Department of Regenerative and Transplant, Division of Orthopedic Surgery and the Department of Neuroscience, Division of Plastic Surgery, Niigata University Graduate School of Medical and Dental Sciences, Asahimachi 1, Niigata 951-8510, Japan

Correspondence: Dr Keiji Zenzai, Division of Orthopedic Surgery, Niigata Industrial Injuries Hospital, 1-7-12, Toun-cho, Joetsu City, Niigata 942-8502, Japan. Tel.: +81 25 543 3123; fax: +81 25 544 5210. E-mail: zenzai{at}niirou.jp

Fourteen of 35 patients who underwent radial shortening with or without ulnar shortening for the treatment of Kienböck’s disease were followed up for a median of 19 (range, 13–25) years. Radial shortening was performed for patients with ulnar negative or neutral variance, and combined shortening of radius and ulna for those with ulnar positive variance. Overall the clinical situation was significantly improved at the final follow-up. There was no significant advanced collapse of the wrists and Lichtman’s stage of disease increased in only three cases. Although osteoarthritic changes in the distal radio–ulnar joint progressed in five patients, this may have little influence on clinical outcome. Radial shortening osteotomy is a reliable method for treatment of Kienböck’s disease.

Key Words: Kienböck’s disease • radial shortening • combined shortening of radius and ulna • long-term results

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 2, 226-228 (2005)
DOI: 10.1016/J.JHSB.2004.12.008
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M. Takahara, T. Watanabe, H. Tsuchida, S. Yamahara, N. Kikuchi, and T. Ogino
Long-Term Follow-up of Radial Shortening Osteotomy for Kienbock Disease. Surgical Technique
J. Bone Joint Surg. Am., October 1, 2009; 91(Supplement_2): 184 - 190.
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Home page
 JBJSHome page
T. Watanabe, M. Takahara, H. Tsuchida, S. Yamahara, N. Kikuchi, and T. Ogino
Long-Term Follow-up of Radial Shortening Osteotomy for Kienbock Disease
J. Bone Joint Surg. Am., August 1, 2008; 90(8): 1705 - 1711.
[Abstract] [Full Text] [PDF]