ISSN 2458-7834
 

Original Article 


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

Ali Güleç, Harun Kütahya, Hasan Metineren, Burkay Kutluhan Kaçıra, 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


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Ali Güleç
Articles by Harun Kütahya
Articles by Hasan Metineren
Articles by Burkay Kutluhan Kaçıra
Articles by Onur Bilge
Articles by Serdar Toker
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacıra, 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 Kacıra, Onur Bilge, Serdar Toker. Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy. https://handmicrosurgeryjournal.com/?mno=163451 [Access: January 09, 2024]. doi:10.2399/emd.12.25744


AMA (American Medical Association) Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacıra, 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 Kacıra, Onur Bilge, Serdar Toker. Results of treatment stage 2 and stage 3 Kienböck’s disease by distal radial shortening osteotomy. Hand Microsurg. (2012), [cited January 09, 2024]; 1(3): 99-102. doi:10.2399/emd.12.25744



Harvard Style

Ali Gulec, Harun Kutahya, Hasan Metineren, Burkay Kutluhan Kacıra, 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 Kacıra, 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 Kacıra, 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 Kacıra, 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 Kacıra, 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





Most Viewed Articles
Most Accessed Articles

  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
    Top Downloaded Articles

  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • Love sign’s love for glomus tumor
    Ankit Shukla, Varun Verma, Roshni Shukla, Rajesh Chaudhary, Saurab Sharma, Sajid Mohammad
    Hand Microsurg. 2018; 7(2): 105-108
    » Abstract » doi: 10.5455/handmicrosurg.279749

  • Synovial chondromatosis of the wrist
    Murat Kayalar, Abuzer Uludag, Basak Doganavsargil Yakut, Ahmet Savran
    Hand Microsurg. 2018; 7(2): 109-111
    » Abstract » doi: 10.5455/handmicrosurg.269392

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

  • Most Cited Articles
    Most Cited Articles