Document Detail


Is radial shortening useful for Litchman stage 3B Kienbock's disease?
MedLine Citation:
PMID:  17724595     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Taskin Altay; Ahmet Kaya; Levent Karapinar; Hasan Ozturk; Cemil Kayali
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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    
Affiliation:
Department of Orthopaedics, Izmir-Tepecik Education and Research Hospital, 35100, Izmir, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Follow-Up Studies
Humans
Male
Osteonecrosis / pathology,  surgery*
Osteotomy / rehabilitation*
Radius / surgery*
Range of Motion, Articular*
Recovery of Function
Young Adult
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