Role of radial shortening osteotomy in kienbockis disease

Abstract EN

Background : Kienbock’s disease (KD) is a painful disorder of the wrist with a multi factorial aetiology.

Controversy exists regarding aetiology, diagnostic modalities and treatment.

Objective : Evaluation of radial shortening osteotomy (RSO) for the treatment of Kicnbocki disease.

Patients and methods : 13 patients treated by RSO were clinically and radiologically evaluate pre and post- operatively including MRI 4 patients.

Results: The procedure was excellent in 8.

good in 4 and poor in one.

Pain and range of motion (ROM), improved.

Radiological improvement evidenced by Plain radiography and MR1 was satisfactory Clinical improvement precede radiological improvement.

The younger the patient, earlier surgery, absence of degenerative changes were in favor of good results.

Discussion : the results were discussed and compared with other reports on the subject.

Conclusion : RSO is a simple procedure which IS useful in treating KD by correcting ulna variance (U.V) and redistribution of load over the lunate bone.