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Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy

Ali Güleç, Harun Kütahya, Hasan Metineren, Burkay Kutluhan Kaçýra, Onur Bilge, Serdar Toker.


Abstract
Objectives: We aimed to investigate the mid- and long-term results of joint leveling treatment by distal radius shortening osteotomy and distal volar plate fixation in Kienböck’s disease.
Methods: The study was planned for 22 of 29 patients who were diagnosed as Kienböck’s disease and had distal radius shortening osteotomy. Fifteen of 22 patients who were followed-up regularly were included to the study. Five patients were in stage 2, 3 patients were in stage 3A and 7 patients were in stage 3B. In the last controls, both hands’ grip strength, flexion-extension degrees, radial-ulnar deviation degrees, preoperative and postoperative carpal height ratio and preoperative and postoperative ulnar variances were recorded. Pain evaluation was performed by Visual Analogue Scale (VAS).
Results: Clinical results were evaluated according to Modified Nakamura Scoring System. Thirteen patients (87%) had excellent results while 2 (13%) of them had good results. In radiological evaluation it was seen that ulnar variance decreased to mean -0.14 mm which was mean -2,.5 mm before the operations. Carpal height ratio was found to be mean 1.29.
Conclusion: Joint leveling treatment by distal radius shortening osteotomy and volar plate fixation technique in Kienböck’s disease from stage 2 to stage 3B, is a reliable, and clinically successful treatment modality.

Key words: Kienböck disease, radial shortening ostetomy, volar plating

 

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How to Cite this Article
Pubmed Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacira, Onur Bilge, Serdar Toker. Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy. Hand Microsurg. 2012; 1(3): 99-102. doi:10.2399/emd.12.25744


Web Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacira, Onur Bilge, Serdar Toker. Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy. http://handmicrosurgeryjournal.com/?mno=163451 [Access: December 15, 2018]. doi:10.2399/emd.12.25744


AMA (American Medical Association) Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacira, Onur Bilge, Serdar Toker. Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy. Hand Microsurg. 2012; 1(3): 99-102. doi:10.2399/emd.12.25744


Vancouver/ICMJE Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacira, Onur Bilge, Serdar Toker. Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy. Hand Microsurg. (2012), [cited December 15, 2018]; 1(3): 99-102. doi:10.2399/emd.12.25744


Harvard Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacira, Onur Bilge, Serdar Toker (2012) Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy. Hand Microsurg, 1 (3), 99-102. doi:10.2399/emd.12.25744


Turabian Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacira, Onur Bilge, Serdar Toker. 2012. Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy. Hand and Microsurgery, 1 (3), 99-102. doi:10.2399/emd.12.25744


Chicago Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacira, Onur Bilge, Serdar Toker. “Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy.” Hand and Microsurgery 1 (2012), 99-102. doi:10.2399/emd.12.25744


MLA (The Modern Language Association) Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacira, Onur Bilge, Serdar Toker. “Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy.” Hand and Microsurgery 1.3 (2012), 99-102. Print. doi:10.2399/emd.12.25744


APA (American Psychological Association) Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacira, Onur Bilge, Serdar Toker (2012) Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy. Hand and Microsurgery, 1 (3), 99-102. doi:10.2399/emd.12.25744