Skip to main content
SpringerLink
Log in

Lunarectomy and Progressive Capitate Lengthening (Modified Graner–Wilhelm Procedure)

  • Chapter
  • First Online:
Kienböck’s Disease

  • 1032 Accesses

Abstract

The Graner–Wilhelm procedure, indicated in selected stage III Kienböck’s cases with preserved hyaline cartilage at the distal radius lunate fossa and capitate head (Bain–Begg Kienböck’s grade 0 or 1), consists of resection of the necrotic lunate, transverse osteotomy of the distal corpus of the capitate, implantation of an external minifixator, followed—after 7–10 days—by progressive lengthening of the capitate until the carpal height is restored. Bone healing under distraction osteogenesis is relatively quick. After rehabilitation the patient regains acceptable wrist joint motion and strength. Contrary to what is observed after first carpal row resection, no degenerative osteo-arthrosis seems to affect the radio-capitate joint.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Fontaine C. Kienböck’s disease. Chir Main. 2015;34(1):4–17.

    Article  CAS  PubMed  Google Scholar 

  2. Schuind F, Eslami S, Ledoux P. Kienböck’s disease. J Bone Joint Surg Br. 2008;90(2):133–9.

    Article  CAS  PubMed  Google Scholar 

  3. Goldfarb CA, Hsu J, Gelberman RH, Boyer MI. The Lichtman classification for Kienböck’s disease: an assessment of reliability. J Hand Surg Am. 2003;28:74–80.

    Article  PubMed  Google Scholar 

  4. Jafarnia K, Collins ED, Kohl HW, Bennett JB, Ilahi OA. Reliability of the Lichtman classification of Kienböck’s disease. J Hand Surg Am. 2000;25:529–34.

    Article  CAS  PubMed  Google Scholar 

  5. Lichtman DM, Mack GR, MacDonald RI, Gunther SF, Wilson JN. Kienböck’s disease. The role of silicone replacement arthroplasty. J Bone Joint Surg Am. 1977;59:899–908.

    CAS  PubMed  Google Scholar 

  6. Kawanishi Y, Moritomo H, Omokawa S, Murase T, Sugamoto K, Yoshikawa H. In vivo 3-dimensional analysis of stage III Kienböck disease: pattern of carpal deformity and radioscaphoid joint congruity. J Hand Surg Am. 2015;40(1):74–80.

    Article  PubMed  Google Scholar 

  7. Tatebe M, Hirata H, Shinohara T, Yamamoto M, Okui N, Kurimoto S, et al. Arthroscopic findings of Kienböck’s disease. J Orthop Sci. 2011;16(6):745–8.

    Article  PubMed  Google Scholar 

  8. De Smet L, Degreef I. Treatment options in Kienböck’s disease. Acta Orthop Belg. 2009;75(6):715–26.

    PubMed  Google Scholar 

  9. Lu L, Gong X, Liu Z, Zhang Z. Capitate transposition to replace necrotic lunate bone with a pedicle for Kienböck’s disease: review of 30 cases. Chin Med J (Engl). 2003;116(10):1519–22.

    Google Scholar 

  10. Graner O, Lopes EI, Carvalho BC, Atlas S. Arthrodesis of the carpal bones in the treatment of Kienböck’s disease, painful ununited fractures of the navicular and lunate bones with avascular necrosis, and old fracture-dislocations of carpal bones. J Bone Joint Surg Am. 1966;48(4):767–74.

    CAS  PubMed  Google Scholar 

  11. Nonnenmacher J, Naett R, Ben Abid M. Arthrodèse intracarpienne de revascularisation avec transposition du grand os (Graner type II). Ann Chir Main. 1982;1(3):256–9.

    Article  CAS  PubMed  Google Scholar 

  12. Takase K, Imakiire A. Lunate excision, capitate osteotomy, and intercarpal arthrodesis for advanced Kienböck disease. Long-term follow-up. J Bone Joint Surg Am. 2001;83(2):177–83.

    Article  PubMed  Google Scholar 

  13. Bartelmann U, Richter N, Landsleitner B. Operation nach Graner zur Therapie der Lunatumnekrose. Literaturübersicht und eigene Ergebnisse. Handchir Mikrochir Plast Chir. 1998;30(3):165–74.

    CAS  PubMed  Google Scholar 

  14. Vander Grend R, Dell PC, Glowczewskie F, Leslie B, Ruby LK. Intraosseous blood supply of the capitate and its correlation with aseptic necrosis. J Hand Surg Am. 1984;9(5):677–83.

    Article  CAS  PubMed  Google Scholar 

  15. Ehall R, Pierer G, Neubauer W, Stampfel O. Interkarpale Pseudarthrose als Komplikation der Granerschen Operation. Handchir Mikrochir Plast Chir. 1989;21(5):257–61.

    CAS  PubMed  Google Scholar 

  16. Wilhelm K, Hierner R, Brehl B. Kallusdistraktion zur progressiven Verlängerung des Os capitatum nach Resektion des Os lunatum bei Lunatummalazie im Stadium III. Operationstechnik und Eijjahres-Ergebnisse. Handchir Mikrochir Plast Chir. 1997;29(1):10–9.

    CAS  PubMed  Google Scholar 

  17. Hierner R, Wilhelm K. Long-term follow-up of callotasis lengthening of the capitate after resection of the lunate for the treatment of stage III lunate necrosis. Strat Trauma Limb Reconstr. 2010;5(1):23–9.

    Article  Google Scholar 

  18. Croog AS, Stern PJ. Proximal row carpectomy for advanced Kienböck’s disease: average 10-year follow-up. J Hand Surg Am. 2008;33(7):1122–30.

    Article  PubMed  Google Scholar 

  19. De Smet L, Robijns P, Degreef I. Proximal row carpectomy in advanced Kienbock’s disease. J Hand Surg Br. 2005;30(6):585–7.

    Article  PubMed  Google Scholar 

  20. Lumsden BC, Stone A, Engber WD. Treatment of advanced-stage Kienböck’s disease with proximal row carpectomy: an average 15-year follow-up. J Hand Surg Am. 2008;33(4):493–502.

    Article  PubMed  Google Scholar 

  21. Bain GI, Begg M. Arthroscopic assessment and classification of Kienböck’s disease. Tech Hand Up Extrem Surg. 2006;10(1):8–13.

    Article  PubMed  Google Scholar 

  22. Watanabe K, Nakamura R, Imaeda T. Arthroscopic assessment of Kienböck’s disease. Arthroscopy. 1995;11(3):257–62.

    Article  CAS  PubMed  Google Scholar 

  23. Facca S, Gondrand I, Naito K, Lequint T, Nonnenmacher J, Liverneaux P. Graner’s procedure in Kienböck disease: a series of four cases with 25 years of follow-up. Chir Main. 2013;32(5):305–9.

    Article  CAS  PubMed  Google Scholar 

  24. Fenollosa J, Valverde C. Résultat des arthrodèses intracarpiennes dans le traitement des nécroses du semi-lunaire. Rev Chir Orthop Reparatrice Appar Mot. 1970;56(8):745–54.

    CAS  PubMed  Google Scholar 

  25. Lu LJ, Gong X, Wang KL. Vascularized capitate transposition for advanced Kienböck disease: application of 40 cases and their anatomy. Ann Plast Surg. 2006;57(6):637–41.

    Article  CAS  PubMed  Google Scholar 

  26. Kerschbaumer F, Andree W, Poisel S. Lunatum-Malazie: Vergleich von Kapitatum –Verschiebeplastik und Silastic-Prothese. Orthopade. 1981;10(1):52–3.

    CAS  PubMed  Google Scholar 

  27. Jia XY, Gong X, Lu LJ. Contact pressures in radiocarpal and triquetrohamate joints after vascularized capitate transposition. Ann Plast Surg. 2011;67(5):534–8.

    Article  CAS  PubMed  Google Scholar 

  28. Viegas SF, Wagner K, Patterson R, Peterson P. Medial (hamate) facet of the lunate. J Hand Surg Am. 1990;15(4):564–71.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedics and Traumatology, Erasme University Hospital, Université libre de Bruxelles (ULB), 808 route de Lennik, Brussels, 1070, Belgium

    Frédéric A. Schuind MD, PhD & Fabian Moungondo MD

Authors
  1. Frédéric A. Schuind MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Fabian Moungondo MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Frédéric A. Schuind MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA

    David M. Lichtman

  2. Department of Orthopedic Surgery, Flinders University and Flinders Medical Centre, Adelaide, South Australia, Australia

    Gregory Ian Bain

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Schuind, F.A., Moungondo, F. (2016). Lunarectomy and Progressive Capitate Lengthening (Modified Graner–Wilhelm Procedure). In: Lichtman, D., Bain, G. (eds) Kienböck’s Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-34226-9_23

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-34226-9_23

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34224-5

  • Online ISBN: 978-3-319-34226-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation