gms | German Medical Science

67. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie
89. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie
44. Tagung des Berufsverbandes der Fachärzte für Orthopädie

11. bis 16.11.2003, Messe/ICC Berlin

Long term results of distal radius shortening for Kienböck's disease

Meeting Abstract (DGOOC 2003)

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  • corresponding author Eric Raven - Hilversum Hospital, v Riebeeckweg 212, 1213XZ, Hilversum, Phone: 31-35-6887777
  • T.W. Patt - Department of Orthopaedics, Hilversum Hospital, the Netherlands
  • R.K. Marti - Department of Orthopaedics, Academic Medical Center, Amsterdam

Deutsche Gesellschaft für Unfallchirurgie. Deutsche Gesellschaft für Orthopädie und orthopädische Chirurgie. Berufsverband der Fachärzte für Orthopädie. 67. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 89. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie und 44. Tagung des Berufsverbandes der Fachärzte für Orthopädie. Berlin, 11.-16.11.2003. Düsseldorf, Köln: German Medical Science; 2003. Doc03dguL2-4

The electronic version of this article is the complete one and can be found online at:

Published: November 11, 2003

© 2003 Raven et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.




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.


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)


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).


Also on the long term the distal radius shortening osteotomy for Kienböck's disease with an ulna minus is a good procedure.