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Luegmair, M; Goehtz, F; Kalb, K; Cip, J; van Schoonhoven, J.
Radial shortening osteotomy for treatment of Lichtman Stage IIIA Kienböck disease.
J Hand Surg Eur Vol. 2017; 42(3): 253-259. Doi: 10.1177/1753193416676723
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Co-authors Med Uni Graz
Cip Johannes
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Abstract:
We carried out a retrospective study to analyse the long-term outcome of 36 patients after radial shortening osteotomy for treatment of Lichtman Stage IIIA Kienböck disease at a mean follow-up of 12.1 years (range 5.4-17.5). At review, seven wrists had progressed to Stage IIIB, eight wrists to Stage IV and 21 remained in Stage IIIA. Motion and grip strength were significantly improved. The mean Disabilities of the Arm, Shoulder, and Hand (DASH) score at review was 12 points (range 0-52), and patient satisfaction was high. Apart from plate removals in 14 patients and one wrist denervation, no subsequent surgical procedures were done. Radial shortening yields good long-term clinical results, but does not prevent radiographic progression of disease in some patients. Therapeutic IV.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Female -
Humans -
Male -
Middle Aged -
Osteonecrosis - diagnostic imaging
Osteonecrosis - surgery
Osteotomy -
Radius - surgery
Range of Motion, Articular -
Retrospective Studies -
Treatment Outcome -
Wrist Joint -
Young Adult -

Find related publications in this database (Keywords)
Kienbock
radial shortening osteotomy
Lichtman Stage IIIA
wrist
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