Capitate osteotomy and transposition for type III Kienböck’s disease

Abstract

IV.

Pronator quadratus pedicled bone graft in the treatment of Kienböck disease: follow-up 2 to 12 years

“…Several treatment options are no longer used because of their poor long-term outcomes, despite their early satisfactory outcomes (Ruettermann, 2019). Therefore, we performed further analysis for the 10 patients who were followed-up for more than 5 years (Li et al., 2018). The radiographic changes of these patients were not evident, but the wrist ROM and grip strength were significantly improved.…”

Lunate excision, capitate osteotomy, and intercarpal arthrodesis should be used with caution for advanced Kienböck’s disease

“…(2006). The surgical procedures of Li et al. (2018) included excision of the necrotic lunate and proximal transposition of the proximal part of the capitate.…”

“…The Graner II procedure is very similar to the technique that Lu et al. (2006) and Li et al. (2018) used, except that the Graner II procedure included arthrodesis of the transected capitate with other carpal bones.…”

“…Li et al. (2018) described their results of capitate osteotomy and transposition combined with an iliac bone graft to treat advanced Kienböck’s disease with reference to Lu et al.…”

“…My teachers told me that they stopped doing Graner II operations due to mediocre results. They had actually done what Li and colleagues (2018) have done: only transposing and fusing the capitate with iliac bone graft and K-wires without the more invasive arthrodesis originally described by Graner himself. But even those modifications did not lead to satisfactory long-term results.…”