Document Detail

Is radial shortening useful for Litchman stage 3B Kienbock's disease?
MedLine Citation:
PMID:  17724595     Owner:  NLM     Status:  MEDLINE    
Treatment of Litchman stage 3 Kienböck's disease is still controversial. In this study our aim was to evaluate the effectiveness of radial shortening on stage 3B Kienböck's disease in comparison with stage 3A cases. Radial shortening was performed for 23 patients who had stage 3A (group I, n = 13) and 3B (group II, n = 10) Kienböck's disease between 1994 and 2004. The radial osteotomy was performed 4.5 cm proximal to the distal articular surface. The mean shortening was 2.6 mm (range 2 to 4.5). The average follow-up period was 85 months (range 26-147). Based on the modified Nakamura system, the mean clinical points were 14.3 in group I and 13.3 in group II. There was no statistical difference between both groups with regard to clinical points (P = 0.483). The extension-flexion arc showed significant improvement in both groups. Based on the results of this long-term follow-up study, we concluded that radial shortening osteotomy can be performed in the treatment of type 3B Kienböck's disease as reliably as type 3A, despite the lack of evident radiological improvement.
Taskin Altay; Ahmet Kaya; Levent Karapinar; Hasan Ozturk; Cemil Kayali
Related Documents :
16207505 - Photographic analysis of faces of 20-year-old students in iran.
16133475 - The high tibial osteotomy, open versus closed wedge, a comparison of methods in 108 pat...
864215 - Lengthening of the ulna in radial agenesis: a preliminary report.
2234355 - Radical osteoclastic craniectomy in sagittal synostosis.
8428715 - Prospective controlled trial of selective parenteral and enteral antimicrobial regimen ...
25452845 - Endoscopic mucosal resection of large rectal adenomas in the era of centralization: res...
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2007-08-28
Journal Detail:
Title:  International orthopaedics     Volume:  32     ISSN:  0341-2695     ISO Abbreviation:  Int Orthop     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2009-01-14     Completed Date:  2009-04-21     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  747-52     Citation Subset:  IM    
Department of Orthopaedics, Izmir-Tepecik Education and Research Hospital, 35100, Izmir, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Follow-Up Studies
Osteonecrosis / pathology,  surgery*
Osteotomy / rehabilitation*
Radius / surgery*
Range of Motion, Articular*
Recovery of Function
Young Adult

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

Previous Document:  Arthroscopic treatment of symptomatic type D medial plica.
Next Document:  Revelation of ancestral roles of KNOX genes by a functional analysis of Physcomitrella homologues.