Radial-shortening and ulnar-lengthening operations for kienböck’s disease

Anuj P. Netto, Robert M Szabo

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The most common procedures to treat Kienböck’s disease involve osteotomies of the radius or ulna and are frequently referred to as joint-leveling procedures. The theory for these osteotomies, first proposed by Hultén in 1928, comes from the belief that abnormal association between the lunate and radius leads to altered mechanics at the radiocarpal joint which predispose those individuals to developing Kienböck’s disease. Various osteotomies of the radius and ulna can be categorized into three main groups: radial shortening, radial wedge, and ulnar lengthening. New long-term outcome data for radial shortening and wedge osteotomies have been promising despite radiographic progression of disease and have thus widened indications for such procedures. While biomechanical data has lent support to each group, ulnar-lengthening procedures have largely fallen out of favor secondary to increased complication rates relative to other options. Despite these complications, ulnar-lengthening osteotomy along with radial-sided osteotomies offer the added benefit of staying extra-articular should further intra-articular salvage procedures be required in the future.

Original languageEnglish (US)
Title of host publicationKienbock's Disease
Subtitle of host publicationAdvances in Diagnosis and Treatment
PublisherSpringer International Publishing
Pages183-192
Number of pages10
ISBN (Electronic)9783319342269
ISBN (Print)9783319342245
DOIs
StatePublished - Jan 1 2016

Keywords

  • Closing wedge osteotomy
  • Joint leveling
  • Kienböck’s
  • Opening wedge osteotomy
  • Osteotomy
  • Radial osteotomy
  • Radial shortening
  • Ulna lengthening
  • Ulna osteotomy

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Netto, A. P., & Szabo, R. M. (2016). Radial-shortening and ulnar-lengthening operations for kienböck’s disease. In Kienbock's Disease: Advances in Diagnosis and Treatment (pp. 183-192). Springer International Publishing. https://doi.org/10.1007/978-3-319-34226-9_16