Distal radius osteotomy with intramedullary fixation for the treatment of Kienbock disease.
Symptomatic Kienbock disease with ulnar-negative variance is commonly treated with a distal radius shortening osteotomy. Traditionally, the osteotomy is stabilized using dorsal or volar plating. Use of an intramedullary implant to stabilize the osteotomy in the treatment of this condition is demonstrated in this article. In addition to changing the mechanical loading through the lunate, the technique also allows for core decompression the distal radial metaphyseal bone that may further help in restoring the vascularity to the lunate. The authors believe that this technique is a valuable method that demonstrates both clinical and technical improvements in the treatment of Kienbock disease.
Department of Orthopedics, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ, USA. tanvi@umdnj.edu
Virak
V
Tan
Mark Ronald
MR
Paiste
D000328:Adult; D001860:Bone Plates; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D010147:Pain Measurement; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D018570:Risk Assessment; D012494:Sampling Studies; D016896:Treatment Outcome; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*