title: Partial capitate shortening for Kienböck's disease.
abstract: The purpose of this study was to report our experience of partial capitate shortening in seven patients with a median 38 months follow-up. Staging was made by the Lichtman classification system and stage II and III-A patients were included in the study. The mean age was 34 years (range 22-52). Patients were assessed for pain, range of motion, grip and pinch strength, and satisfaction was recorded using a scale between 0 and 4. All these parameters showed improvement after surgery. The Lichtman stage, lunate height index and carpal height index were determined radiographically. Magnetic resonance images of the wrist were studied for lunate revascularization at the final follow-up and occurred in all patients. According to our study, partial capitate shortening seems an effective treatment for Lichtman stage II and III-A patients.Level IV case series study.
authors.affiliation: Department of Orthopaedics and Traumatology, Katip Celebi University, Izmir, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Citlak
authors.affiliation: Department of Orthopaedics and Traumatology, Katip Celebi University, Izmir, Turkey.
authors.forename: U
authors.initials: U
authors.lastname: Akgun
authors.affiliation: Department of Orthopaedics and Traumatology, Katip Celebi University, Izmir, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Bulut
authors.affiliation: Department of Orthopaedics and Traumatology, Katip Celebi University, Izmir, Turkey mesuttahta@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Tahta
authors.affiliation: Department of Radiology, Katip Celebi University, Izmir, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Dirim Mete
authors.affiliation: Department of Orthopaedics and Traumatology, Katip Celebi University, Izmir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Sener
mesh_terms: D000328:Adult; D051224:Capitate Bone / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength; D006801:Humans; D012667:Lunate Bone / Q000098:blood supply* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000145:classification / Q000601:surgery*; D017060:Patient Satisfaction; D062707:Return to Work; D064232:Visual Analog Scale; D055815:Young Adult
keywords: Kienbock disease; lunate; partial capitate shortening osteotomy; revascularization