RADIAL SHORTENING IN KIENBÖCK DISEASE
Taşkın ALTAY1, Murat BAŞ2, Levent KARAPINAR1, Hasan ÖZTÜRK1, Mehmet Rıfkı US1
1Sosyal Sigortalar Kurumu Tepecik Eğitim Hastanesi 1. Ortopedi ve Travmatoloji Kliniği
2Sosyal Sigortalar Kurumu Nazilli Hastanesi Ortopedi ve Travmatoloji
Keywords: Kienböck Disease. Radial Shortening.
Introduction: In this study, we evaluate the results of radial shortening for Kienböck disease. Material and
Methods: Between February-1994 and the January-1998, 16 cases of Kienböck disease, were managed with radial shortening. Nine of sixteen cases were male and the remaining seven were female. The patients average age was 30.2 years. According to Lichtman classification, cases were classified as following; 4 cases as stage II, 6 cases as stage IIIA, 5 cases as stage IIIB and 1 case as stage IV. In this study; wrist pain amount, grip strength and functional range of motion of wrist; preoperative and postoperative carpal height ratio as radio graphically, ulnar variance measurement, stahl index, radial inclination angle and lunatic fosse inclination angle were evaluated.
Results: We were evaluated according to Nakamura’s wrist scoring criteria. The postoperative results were excellent in 1 (%6.25), good in 11 (%68.75), fair in 3 (%18.75), in 1 (%6.25) of the patients. Decreased pain, increased grip strength and functional range of motion were established in these cases.
Discussion: In the stage 2, 3A and 3B radial shortening osteotomy is an effective treatment method for Kienböck disease.