Abstract
A retrospective clinical analysis of 20 patients who underwent a lateral closing wedge osteotomy of the radius as an adjuvant procedure to a radial recession in the treatment of Kienbock's disease is reported. The functional outcome is compared to the results of a simplified two-dimensional articulating force analysis (Rigid Body Spring Model) based on radiographs of the wrist of the same patients taken before and after surgery. At an average follow-up of 39 months, wrist function was excellent in 4 patients, good in 9, moderate in 6, and poor in one patient. A significant positive correlation between functional improvement and percent reduction of the calculated peak pressure at the radiolunate interval was found. This was maximal in patients with wedge osteotomies between 5 and 10 degrees.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 283-290 |
| Number of pages | 8 |
| Journal | Annales de Chirurgie de la Main et du Membre Superieur |
| Volume | 17 |
| Issue number | 4 |
| State | Published - 1998 |
Keywords
- Carpal kinetics
- Kienbock's disease
- Lunate bone
ASJC Scopus subject areas
- Surgery