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Surgical Treatments: Radial Osteotomy

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Introduction to Kienböck’s Disease

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Abstract

Radial osteotomy is indicated for Kienböck’s disease. In this chapter, we describe our surgical technique for radial osteotomy using a volar locking plate (VLP) and present the results of a clinical study. We retrospectively compared younger and older patients with Kienböck’s disease stages II–IIIB who had radial osteotomies fixed with volar locking plates, examining their clinical and radiological outcomes.

We find that radial osteotomy is an appropriate treatment option for symptomatic Kienböck’s disease Lichtman stages II to IIIB, not only for younger patients but also for those 40 years of age and older. While younger patients showed greater radiological and clinical improvements in both frequency and degree, the older group had postoperative clinical improvements significant enough to recommend the technique.

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References

  1. Iwasaki N, Minami A, Ishikawa J, Kato H, Minami M. Radial osteotomies for teenage patients with Kienböck disease. Clin Orthop Relat Res. 2005;439:116–22. https://doi.org/10.1097/01.blo.0000173254.46899.72.

    Article  Google Scholar 

  2. Weiss AP, Weiland AJ, Moore JR, Wilgis EF. Radial shortening for Kienböck disease. J Bone Joint Surg Am. 1991;73(3):384–91.

    Article  CAS  Google Scholar 

  3. Nakamura R, Tsuge S, Watanabe K, Tsunoda K. Radial wedge osteotomy for Kienböck disease. J Bone Joint Surg Am. 1991;73(9):1391–6.

    Article  CAS  Google Scholar 

  4. Ansari MT, Chouhan D, Gupta V, Jawed A. Kienböck's disease: where do we stand? J Clin Orthop Trauma. 2020;11(4):606–13. https://doi.org/10.1016/j.jcot.2020.05.041.

    Article  Google Scholar 

  5. Yamamoto M, Tatebe M, Nakagawa Y, Kurimoto S, Iwatsuki K, Hirata H. Radial osteotomy for Kienböck disease: clinical and radiological comparison between younger and older patients. J Hand Surg Asian Pac. 2021;26(3):410–6. https://doi.org/10.1142/S2424835521500405.

    Article  Google Scholar 

  6. Bain GI, Begg M. Arthroscopic assessment and classification of Kienböck’s disease. Tech Hand Up Extrem Surg. 2006;10(1):8–13. https://doi.org/10.1097/00130911-200603000-00003.

    Article  Google Scholar 

  7. Tatebe M, Koh S, Hirata H. Long-term outcomes of radial osteotomy for the treatment of Kienböck disease. J Wrist Surg. 2016;5(2):92–7. https://doi.org/10.1055/s-0036-1581099.

    Article  Google Scholar 

  8. Suzuki M, Kurimoto S, Shinohara T, Tatebe M, Imaeda T, Hirata H. Development and validation of an illustrated questionnaire to evaluate disabilities of the upper limb. J Bone Joint Surg Br. 2010;92(7):963–9. https://doi.org/10.1302/0301-620X.92B7.23410.

    Article  CAS  Google Scholar 

  9. Lichtman DM, Pientka WF 2nd, Bain GI. Kienböck disease: moving forward. J Hand Surg Am. 2016;41(5):630–8. https://doi.org/10.1016/j.jhsa.2016.02.013.

    Article  Google Scholar 

  10. Hultén O. Über Anatomische Variationen der Handgelenkknochen: ein Beitrag zur Kenntnis der Genese zwei verschiedener Mondbeinveränderungen. Acad Radiol. 1928;9(2):155–68. https://doi.org/10.1177/028418512800900207.

    Article  Google Scholar 

  11. Persson M. Causal treatment of lunatomalacia: further experiences of operative ulnar lengthening. Acta Chir Scand. 1950;100(6):531–44.

    CAS  Google Scholar 

  12. Garcia-Elias M. Radial wedge osteotomy for Kienböck disease. J Bone Joint Surg Am. 1992;74(9):1431.

    Article  CAS  Google Scholar 

  13. Irisarri C, Kalb K, Ribak S. Infantile and juvenile lunatomalacia. J Hand Surg Eur. 2010;35(7):544–8. https://doi.org/10.1177/1753193410364913.

    Article  CAS  Google Scholar 

  14. Blanco RH, Blanco FR. Osteotomy of the radius without shortening for Kienböck disease: a 10-year follow-up. J Hand Surg Am. 2012;37(11):2221–5. https://doi.org/10.1016/j.jhsa.2012.07.023.

    Article  Google Scholar 

  15. Altay T, Kaya A, Karapinar L, Ozturk H, Kayali C. Is radial shortening useful for Litchman stage 3B Kienbock's disease? Int Orthop. 2008;32(6):747–52. https://doi.org/10.1007/s00264-007-0428-4.

    Article  Google Scholar 

  16. Calfee RP, Van Steyn MO, Gyuricza C, Adams A, Weiland AJ, Gelberman RH. Joint leveling for advanced Kienböck’s disease. J Hand Surg Am. 2010;35(12):1947–54. https://doi.org/10.1016/j.jhsa.2010.08.017.

    Article  Google Scholar 

  17. Innes L, Strauch RJ. Systematic review of the treatment of Kienböck's disease in its early and late stages. J Hand Surg Am. 2010;35(5):713–7., 717.e1-4. https://doi.org/10.1016/j.jhsa.2010.02.002.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Hand Surgery, Nagoya University, Nagoya, Aichi, Japan

    Michiro Yamamoto

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  1. Michiro Yamamoto
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Correspondence to Michiro Yamamoto .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Hokkaido University, Faculty of Medicine and Graduate School of Medicine, Sapporo, Hokkaido, Japan

    Norimasa Iwasaki

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Yamamoto, M. (2023). Surgical Treatments: Radial Osteotomy. In: Iwasaki, N. (eds) Introduction to Kienböck’s Disease. Springer, Singapore. https://doi.org/10.1007/978-981-19-8375-7_10

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  • DOI: https://doi.org/10.1007/978-981-19-8375-7_10

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-8374-0

  • Online ISBN: 978-981-19-8375-7

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