Document Detail

Osteotomy of the Radius Without Shortening for Kienböck Disease: A 10-Year Follow-up.
MedLine Citation:
PMID:  22995698     Owner:  NLM     Status:  Publisher    
PURPOSE: To determine the long-term effect of distal radius osteotomy without modifying the radial length or inclination for Kienböck disease. METHODS: Over 9 years, 14 patients underwent osteotomy of the distal radius without altering radial length or inclination. A total of 11 of these patients were available for follow-up after 10 or more years. We assessed pain, range of wrist motion, and grip strength preoperatively and postoperatively in all cases, as well as preoperative and postoperative posteroanterior and lateral x-rays. RESULTS: The osteotomy healed in all cases. All 11 patients had decreased pain and showed improvement in wrist motion and grip strength. Radiographically, there were no measurable changes in ulnar variance and there was minimal loss of carpal height. In some patients, the lunate showed increased sclerosis or fragmentation. CONCLUSIONS: An osteotomy of the distal radius without altering radial length or inclination was effective in decreasing pain and improving grip strength and wrist motion regardless of ulnar variance. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
Roque H Blanco; Fernando R Blanco
Related Documents :
15101308 - Combining fixed and removable restorations with linear occlusion to treat combination s...
8606898 - The effects of neurodevelopmental treatment versus practice on the reaching of children...
11254798 - The integration of functional and fixed appliance treatment.
10613128 - Fixed functional appliances--trends for the next century.
3295548 - Laser photocoagulation for the treatment of acute peptic-ulcer bleeding. a randomized c...
6731168 - Long-term survival after stroke.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-18
Journal Detail:
Title:  The Journal of hand surgery     Volume:  -     ISSN:  1531-6564     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
Department of Hand Surgery, Clínica Reina Fabiola, Universidad Católica de Córdoba, Córdoba, Argentina.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Dentofacial Deformities Are Associated With Lower Degrees of Self-Esteem and Higher Impact on Oral H...
Next Document:  Biomechanical Analysis of a Transverse Olecranon Fracture Model Using Tension Band Wiring.