Treatment of kienboeck's disease by radial shortening

ABSTRACT

8 patients [8 wrists] who had Kienbock disease without degenerative changes in the joints were treated in the period from 1989 to 1992 in El-Minia University Hospital by radial shortening. Small DCP 6 holes was used in all cases through anterior approach of the lower third of radius. The segment of the bone removed was equal to the amount of negative ulnar varience that was measured radiologically pre-operatively. Average follow up period was 9.8 months. There was marked improvement of pain in all cases Range of movement of the wrist was improved in all directions and in all cases. Radiologcal improvement was reported in 2 cases by decreased sclerosis, increased trabecular pattern and increased size of the lunate