Artikel
Long term results of distal radius shortening for Kienböck's disease
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Autoren
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Eric Raven
- Hilversum Hospital, v Riebeeckweg 212, 1213XZ, Hilversum, Phone: 31-35-6887777
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T.W. Patt
- Department of Orthopaedics, Hilversum Hospital, the Netherlands
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R.K. Marti
- Department of Orthopaedics, Academic Medical Center, Amsterdam
| Veröffentlicht: | 11. November 2003 |
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Gliederung
Text
Introduction
In literature different surgical treatments for Kienböck's disease are described. If there is an ulna minus variety a radius shortening osteotomy is advised. In this abstract the long term results are evaluated.
Methods
From 1967 until 1987 14 distal radius shortening osteotomies in 13 patients were performed for the diagnosis Kienböck's disease with ulna minus. Of these patients six (3 male and 3 female) were seen for follow-up in 2002 2 patients ( 3 osteotomies) died during follow up. The average age was 33 years. The average follow-up time was 20 years (16 - 24 years)
Results
The average visual analogue score for pain and satisfaction was 45 en 70. The handfunctionscore (maximum 45 points) was 41 points. The average range of motion at follow-up was: dorsal- palmarflexion 55˚ - 63˚, ulnar-radial deviation 42˚ - 25˚ and pro- suppination 87˚ - 88˚. The average gripstrength with the Jamar-meter was 25 N. The classification of the Kienböck's disease according to Lichtman was at follow-up not changed compared to pre-operative in 4 patients (2 patients class 2, 1 patient class 3a and one class 3b) in the other two there was only slight progression (twice from 3a to 3b).
Conclusion
Also on the long term the distal radius shortening osteotomy for Kienböck's disease with an ulna minus is a good procedure.
