Ulnar Lengthening and Radial Recession Procedures for Kienböck’s Disease
| Autor: | D. E. Quenzer, Ronald L. Linscheid, I. A. Trail, P. A. Scherer |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
medicine.medical_specialty Radiography Ulna Fractures Bone Grip strength Bone Lengthening medicine Humans Range of Motion Articular Carpal Bones Osteochondritis Retrospective Studies Transplantation Hand Strength business.industry Lunate bone medicine.disease Surgery Lunate Radius Treatment Outcome medicine.anatomical_structure Radiological weapon Kienböck's disease Range of motion business |
| Zdroj: | Journal of Hand Surgery. 21:169-171 |
| ISSN: | 0266-7681 |
| DOI: | 10.1016/s0266-7681(96)80092-1 |
| Popis: | Twenty patients with Kienböck’s disease who had undergone a joint levelling procedure, were reviewed at a mean of 11 years following surgery. Clinical and radiological evaluation revealed good long-term results with all patients complaining of less pain than before surgery and with statistically significant increases in range of motion and grip strength.Radiologically a significant number of patients were found still to have lunate fractures and fragmentation. In addition, 13 patients have developed new bone formation in the lunate fossa, and 12 show osteoarthritic changes, particularly at the radioscaphoid interface. Radial shortening was felt to be superior to ulnar lengthening in that there were fewer problems with bone union. |
| Databáze: | OpenAIRE |
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