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Radial closing wedge osteotomy for Kienböck's disease
1Department of Orthopedic Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
The Journal of Hand Surgery
|November 1, 1996
Summary
Radial closing wedge osteotomy effectively treats Kienböck's disease, with most patients achieving good or excellent outcomes. However, lunate flexion deformities can limit surgical success.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Wrist Arthroscopy
Background:
- Kienböck's disease is a condition affecting the lunate bone in the wrist.
- Treatment options for Kienböck's disease aim to preserve or restore wrist function.
Purpose of the Study:
- To evaluate the clinical outcomes of radial closing wedge osteotomy for Kienböck's disease.
- To identify factors influencing the success of this surgical procedure.
Main Methods:
- A retrospective study of 26 patients with Kienböck's disease treated with radial closing wedge osteotomy.
- Follow-up duration of 4 years and 5 months.
- Clinical results assessed using the Nakamura scoring system and patient satisfaction.
Main Results:
- Excellent or good results were achieved in 73% of patients (19 out of 26).
- 96% of patients (25 out of 26) were content with their surgical outcome.
- Postoperative Ståhl index and preoperative radiolunate angle were identified as significant factors affecting results.
Conclusions:
- Radial closing wedge osteotomy is an effective surgical treatment for Kienböck's disease.
- Lunate flexion deformity is a limiting factor for achieving optimal clinical success with this procedure.