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Radial recession osteotomy for Kienböck's disease
D E Quenzer1, J H Dobyns, R L Linscheid
1Department of Orthopedics, Mayo Clinic, Rochester, MN 55905, USA.
The Journal of Hand Surgery
|May 1, 1997
Summary
Radial recession osteotomy effectively treats Kienböck's disease, significantly reducing pain and improving wrist function. Most patients return to work, with good outcomes and few complications.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Wrist Arthroscopy
Background:
- Kienböck's disease is a degenerative condition affecting the lunate bone in the wrist.
- Treatment aims to alleviate pain, restore function, and prevent further progression.
Purpose of the Study:
- To evaluate the long-term outcomes of radial recession osteotomy for Kienböck's disease.
- To assess pain relief, functional recovery, and radiographic changes.
Main Methods:
- Retrospective review of 68 patients who underwent radial recession osteotomy.
- Average follow-up of 52 months, with 25 patients receiving concurrent procedures.
Main Results:
- 93% of patients reported diminished pain, improved grip strength, and preserved wrist motion.
- 75% returned to their previous occupations, including heavy labor.
- Lunate healing observed in one-third of patients post-joint leveling.
Conclusions:
- Radial recession osteotomy is an effective treatment for Kienböck's disease, offering significant pain relief and functional improvement.
- Concomitant procedures like revascularization may enhance radiographic outcomes.