The treatment of lunatomalacia. Radial shortening or ulnar lengthening?
In 35 patients with lunatomalacia, radial shortening (20 cases) was compared with ulnar lengthening (15 cases) 5 (1-14) years postoperatively. There was no radiographic evidence of recovery of the architecture of the lunate bone. The time of consolidation of the osteotomy with screw and plate fixation averaged 3 months after radial shortening and 4 months after ulnar lengthening. Pseudoarthrosis developed in 1 case of radial shortening and in 3 cases after ulnar lengthening. The two groups were equal with satisfactory results in two thirds of the patients.
Department of Orthopedics, Catharina Hospital, Eindhoven, The Netherlands.
M E
ME
Schattenkerk
A
A
Nollen
F
F
van Hussen
D000293:Adolescent; D000328:Adult; D001852:Bone Lengthening; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012667:Lunate Bone / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010007:Osteochondritis / Q000601:surgery*; D010027:Osteotomy / Q000379:methods; D011884:Radius / Q000601:surgery*; D014457:Ulna / Q000601:surgery*