Radial recession osteotomy for Kienböck's disease

Lunate Revascularization After Capitate Shortening Osteotomy in Kienböck's Disease

“…1 In their experience using radial recession osteotomy in Kienböck's disease, Quenzer et al found radiographic healing and improvement of the lunate density in some patients at least 12 months after surgery. 23 In their experience of height reconstruction and core revascularization of the lunate in early stage III of Kienböck's disease, Bochud and Buchler 24 found signs of revascularization in approximately half of their cases at 18 to 36 months after surgery. 3 Radiographic conventional changes such as carpal height ratio, Stahl index, and Lichtman stages reflect the circulation and viability status of the lunate indirectly and after a relatively long period of time.…”

The use of the 4 + 5 extensor compartmental vascularized bone graft for the treatment of Kienböck’s disease

“…Range of motion in their series averaged 32% of extension and 27% of flexion compared with the uninjured side and grip strength averaged 49% of the uninvolved side. Quenzer and Trail et al 44,45 have also reported on long-term results of radial shortening osteotomies. In their series of 68 patients followed up for 52 months pain improved in 93% and grip strength improved in 76% but motion was limited again to 60% to 65% of the uninvolved side.…”

Distraction osteogenesis for ulnar lengthening in Kienbock’s disease

“…Joint levelling procedures have been advocated for the treatment of Kienbock's disease by several authorities [3,20,21,23] with ulnar lengthening and radial shortening or osteotomy. In the literature, the number of cases managed by these procedures is small, and most of these series include cases regardless of the stage.…”

“…Of their patients, 93% had an increased grip strength, and 75% returned to their original occupations [20].…”