Investigation of radioulnocarpal joint load distribution effects of radial shortening osteotomy for the treatment of Kienböck disease: a biomechanical study
Ahmet Cemil Turhan1, Bora Uzun2, Meriç Ünal1, Bahadır Uyulgan3, Bayram Ünver4, İzge Günal1
1Dokuz Eylül Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, İzmir, Türkiye
2Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü Biyomekanik Anabilim Dalı, İzmir, Türkiye
3Dokuz Eylül Üniversitesi Mühendislik Fakültesi Metalurji ve Malzeme Mühendisliği Bölümü, İzmir, Türkiye
4Dokuz Eylül Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu, İzmir, Türkiye
Keywords: Biomechanics; Kienböck’s disease; radial shortening osteotomy; radioulnocarpal joint loading.
Objectives: We evaluated the effects of radial shortening osteotomy on the radiolunate joint load distribution. Materials and methods: This biomechanical study used standard left wrist models made of solid foam (Sawbones®, Malmö, Sweden). The radioulnocarpal joint load distribution was investigated in the normal wrist model and 2 mm and 4 mm radial shortening osteotomy models under 14 kgf and 25 kgf loads when the wrist position was neutral.
Results: In the normal wrist group, the comparison of the average pressure distributions under the 14 kgf and 25 kgf loads shows that the increase at the ulnocarpal joint loading and the decrease at the radiolunate joint loading were statistically significant (p=0.012, p=0.036, respectively). When we compared the respective average pressure distributions after 14 kgf and 25 kgf loading, there were no significant differences between the normal wrist and the osteotomy groups.
Conclusion: Consequently, radial shortening osteotomy is not effective in decreasing radiolunate joint loading when the wrist is in neutral position.