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Kienböck's disease with negative ulnar variance: surgical treatment with ulnar lengthening

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Abstract

The aim of the study was to analyse the results of surgical treatment of ulnar lengthening in patients with negative ulnar variance and Kienböck's disease. We report 5 case treated from 1994 to 1998. We evaluated pain, range of motion, functional disability and the progression of the disease by radiologically assessing the lunate and the ulnar variance. The minimum follow-up was 3–5 years. The patients treated by ulnar lengthening had no pain and obtained a good range of motion. No ulnar nonunions were reported and only one patient had residual ulna minus variant at follow-up examination. We recommend an ulnar lengthening procedure for patients with negative ulnar variance and Kienböck's disease.

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Received: 16 August 2002, Accepted: 2 September 2002

Correspondence to: C. Chillemi

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Chillemi, C., Marinelli, M., Raffaelli, P. et al. Kienböck's disease with negative ulnar variance: surgical treatment with ulnar lengthening. J Orthopaed Traumatol 4, 30–34 (2003). https://doi.org/10.1007/s101950300005

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  • DOI: https://doi.org/10.1007/s101950300005

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